Senior Manager Care Management East Orlando

Case Management Society of America (CMSA) ®; Orlando (FL); On-site; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Care Management Senior Manager to lead daily operations and ensure high-quality patient care. This role involves coordinating care strategies, collaborating with interdisciplinary teams, and maintaining compliance with regulatory standards. The ideal candidate will bring a wealth of experience in Care Management and a passion for improving patient outcomes. Join a supportive environment that values your contributions and fosters professional growth while making a meaningful impact on the community's health and well-being.

Benefits

Benefits and Paid Days Off from Day One

Paid Parental Leave

Debt-free Education

Nursing Clinical Ladder Program

Whole Person Well-being Resources

Qualifications

• 3+ years in Care Management/Utilization Management in acute care settings.
• 2+ years in a managerial role within Care Management.

Responsibilities

• Oversee daily operations of the Care Management department.
• Coordinate care and ensure compliance with regulatory standards.

Skills

Care Management

Utilization Management

Leadership

Patient Assessment

Documentation Compliance

Education

Bachelor's Degree in Nursing (BSN)

Bachelor's Degree in Social Work (BSW)

Master's Degree in related field

Job description

All the benefits and perks you need for you and your family:

• Benefits and Paid Days Off from Day One
• Paid Parental Leave
• Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) *For eligible positions*
• Nursing Clinical Ladder Program *For eligible positions*
• Whole Person Well-being and Mental Health Resources

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person and serves to uplift others in body, mind, and spirit. AdventHealth is a place where you can thrive professionally and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule/Shift: Full-Time/Days

Location Address: 7727 LAKE UNDERHILL ROAD, Orlando, 32822

The role you'll contribute: The Care Management Senior Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and supervision of team members.

The Care Management Senior Manager is responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation of processes based upon data management, accountability for Length of Stay, Excess Days, Avoidable Days, Readmission Prevention, and Discharge Planning. In addition, the Care Management Senior Manager is responsible for department engagement, customer experience, compliance of regulatory standards, and employee evaluations. The Care Management Senior Manager supports professional and collaborative relationships with the Interdisciplinary Team to sustain process improvement and attain hospital metrics.

The value you’ll bring to the team:

• Supports the daily operations of the Care Management department (both Inpatient and Emergency Department settings)
• Implements Corporate Care Management strategies
• Collaborates with CM Director to provide and implement strategies to improve operations and outcomes
• Implements strategies with a focus on customer experience
• Ensures documentation compliance of the Care Management department (Discharge Planning Evaluation, IMM, MOON, Patient Choice, etc.)
• Identifies and utilizes resources to support information sharing amongst staff
• Actively participates in daily Multidisciplinary Rounds ensuring staff participation on their assigned units to discuss transition of the patient to the post-acute setting and barriers to the plan
• Assures staff documentation is completed per guidelines as evidenced by appropriate monitoring techniques, coaches staff as needed
• Assures patients are routinely assessed for post-hospital needs and documentation occurs within 1 calendar day of patient admission

The expertise and experiences you’ll need to succeed:

Minimum qualifications:

• Bachelor's Degree Registered Nurse: BSN - Required or Social Worker: BSW Masters in related field - Required
• 3 direct Care Management/Utilization Management experience in an acute care setting - Required
• 2 years of Manager level (or above) experience in Care Management Leadership
• For RN - Registered Nurse - State Licensure and/or Compact State Licensure State specific license if a nurse - Required

Preferred qualifications:

• Master's Degree Registered Nurse: BSN Masters in related field - Preferred
• Social Worker: MSW LCSW - Preferred
• LCSW- License Clinical Social Worker - Preferred
• For RN-BC Certification in Care Management - Preferred

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.