RN Manager, Care Management (SNF)

Desert Oasis Healthcare; Palm Springs (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Desert Oasis Healthcare seeks a Senior SNF Care Management Manager to lead care coordination for Skilled Nursing Facility members and oversee SNF staff, ensuring quality patient care and timely transitions.

The role requires California RN license, BSN preferred, and at least 3 years of acute care experience; strong leadership and collaboration with directors to optimize metrics and workflows.

Qualifications

• RN license in California
• BSN is preferred
• Minimum 3 years of recent acute care nursing experience
• Ability to communicate effectively with multiple stakeholders in the organization
• Detail oriented with time-management and prioritization skills
• Proficient with Microsoft Office applications

Responsibilities

• Collaborate with Director of Care Management to ensure operations support continuity and quality patient care
• Provide leadership and oversight to assigned SNF staff and ensure adequate resources
• Monitor staff performance and facilitate coaching, training, and professional development
• Ensure timely and thorough performance evaluations in line with policy
• Track SNF Care Management metrics and present progress to management
• Use data to develop strategies to meet department goals
• Lead departmental meetings and resolve escalated staff/sNF issues
• Maintain relationships with contracted SNF facilities and providers to promote smooth patient transitions
• Ensure plans of care are reviewed for timely rehab progression
• Promote continuous process improvements across workflows and policies

Skills

Leadership

Staff management

Communication

MS Office

Education

BSN preferred

Tools

Microsoft Office

Job description

Description

The SNF CM Manager is responsible for managing member care management and coordination for members in Skilled Nursing Facilities (SNF). This individual is responsible for the leadership and oversight of assigned SNF staff and collaborating with department management and other individuals throughout the organization to support continuity of care and the delivery of quality care.

Professional Duties

• Collaborate with Director of Care Management to ensure that departmental operations effectively and efficiently support the continuity and delivery of quality patient care.
• Provide leadership and oversight to assigned staff. Ensure that staff have adequate resources available.
• Monitor employee performance. Identify opportunities for improvement and/or professional development and facilitate coaching, counseling and training.
• Ensure that employee performance evaluations for departmental staff are completed thoroughly, accurately and in a timely manner in accordance with company policy.
• Monitor SNF Care Management metrics, such as, but not limited to: SNF Length of Stay, SNF Emergency Department (ED) Utilization, SNF to Hospital Admissions, etc. Assess departmental performance on identified metrics and progress towards achieving established goals and present findings to department Management.
• Utilize SNF Care Management metric data to develop strategies that contribute towards the achievement of established departmental goals.
• Provide ongoing training to departmental staff to provide updates and resources on departmental workflows, policies, procedures and workflows.
• Participate in coordinating and leading departmental meetings.
• Serve as a point of contact to resolve escalating concerns and situations pertaining to staff, SNF facilities, and/or patient care.
• Establish and maintain professional relationships with staff from contracted SNF facilities, Providers, internal staff and others to promote seamless patient transitions and maintaining the SNF length of stay below 13 days.
• Ensure that staff is regularly reviewing and evaluating each patient\'s plan of care to promote timely rehab progression.
• Utilize departmental performance data and staff feedback/input to recommend process improvements.
• Ensure that DOHC Contracted SNFs are in adherence with DOHC Contracts to include, but not limited to, Rehabilitation and Nursing services.
• Ensure that the Specialty Referrals within the Traxit System for SNF/Custodial cases are reviewed and completed in a timely manner to ensure care is not delayed. Identify and problem solve any delays.
• Attend Daily Hospital report as assigned to identify inappropriate/appropriate ER/Acute-to-SNF Transfers, and assist accordingly.
• Identify Clinically complex and/or complex Psycho-Social SNF cases and assist accordingly with timely Hospice and/or Placement Transitions to ensure a timely transition of care is achieved to include utilization prevention strategies.
• Perform other duties as assigned.
• Serve as an ambassador for Desert Oasis Healthcare and Family Hospice Care at all times and positively shape the customer experience
• Introduce self and your role
• Be an active listener (make eye contact, validate)
• Let your patients, customers and co-workers know what they can expect from you and follow through
• Inform patients and co-workers of how and when to contact you under normal circumstances (phone number, email, a help line, Immediate Care, etc.) or when unforeseen issues arise

Qualifications

• Completion of an accredited nursing program. Bachelor\'s degree in Nursing (BSN), preferred.
• Current California Registered Nurse (RN) License.
• 3 years of recent acute care nursing experience.
• Awareness of level of care, intensity of services and severity of illness, discharge screening, Skilled Nursing, and Home Health/Hospice crit ria.
• Ability to effectively communicate with individuals within all levels of the organization, patients, patient family members, providers, vendors and others.
• Detail oriented. Ability to manage time effectively, multitask and prioritize tasks to meet established deadlines.
• Ability to utilize experience, judgement, and critical thinking skills to problem solve and manage staff.
• Ability to utilize Microsoft Office applications (Word, Excel, Outlook, Power Point) and other computer software/applications.
• Current California driver\'s license and proof of auto insurance.

Physical Demands

Type Description

Sitting

Approximately 40% of day.

Standing

Approximately 25% of day.

Walking

Approximately 35% of day.

Lifting

0 - 50 lbs. approximately 20% of day.

Bending

Approximately 10% of day. Kneeling approximately <20% of day.

Hearing/Visual Acuity

Adequate for use with computers, telephone/mobile device and office equipment approximately 50% of day.

Computer