Manager Case Management
Location: Colorado Colorado
Description: Swedish Medical Center is at present recruited Manager Case Management right now, this position will be placed in Colorado. For detail informations about this position opportunity kindly read the description below. This position supports the mission of Swedish Medical Center optimizing the quality of life of all those served by expanding the traditional focus on medical needs to the needs of the whole person. The Case Management Manager is responsible and accountable for overseeing the coordination of services through an interdisciplinary process that provides a clinical, financial ! and psychosocial approach through the continuum of care. Balances indivi d ually identified patient and famil y needs with the efficacious and cost effective utilization of resources. Through concurrent clinical case management, patients will be assessed to determine appropriateness of admission, continued hospitalization, clinical resource consumption, progressive care management, as well as appropriate level of care. Discharge planning will begin at the time of (or prior to) admission and reassessed throughout the course of hospitalization. Quality and Risk Management issues and education needs will also be monitored for and reported per hospital policy. When need arises, will perform other duties as assigned by the Case Management Direct and cover for the director as needed. This role is intended to mentor the individual for a future Director of Case Management position. Responsible for supervising day-to-day operations, including the staff schedule, assignments and case! loads to ensure appropriate hospital-wide coverage. Provides e! xpertise and staff support for problem"solving complex cases and issues. Collaborates with Director and participates in staff evaluation and performance activities including monitoring, coaching, counseling, educating and developing action plans as needed. Represents CM and attends meetings for assigned committees, workgroups and teams. Develops and supervises new staff orientation plans and the department's annual education plan, including staff core competencies.
Telephone and paging systems
I. Position Requirements:A. Licensure/Certification/Registration:
Current Colorado Registered Nurse License or LCSW required.
BLS certification required.
UM/CM certification preferred.
B. Education:
Graduate of an accredited school of nursing or social work.
Bachelor's of Science in Nursing and/or Master's level degree preferred for RN & MSW required for social work.
A. Experience:
o Five or more years ! clinical experience required, hospital setting preferred.
o Three to five years UM/CM experience required.
o One to three years charge/lead/supervisory/management experience required, in UM/CM department role preferred. Able to demonstrate leadership and management skills.
B. Knowledge/Skills/Abilities: Knowledge of all applicable federal and state regulations as well as accreditation standards. Demonstrates a working knowledge of UM, CM and Social Work in the acute care setting and with insurance pay e o rs, managed care and government healthcare plans. Working knowledge of UM review processes, payment/reimbursement and appeal procedures and regulatory requirements. Must have the ability to monitor, compile, report and analyze data/statistics. Requires excellent human relations, interpersonal and oral/written communication skills.
Requires good knowledge and skills with Microsoft Office and other computer information systems and applications.
C. Work Schedule
o Routine CM Department hours of operati! on are 8:00 am-4:30 pm, 7 days/week including holidays.
o CM Supervisor is responsible for assisting CM Director with some '24/7' coverage, including filling in for Director's time off.
II. Degree of Supervision Required:
Involves general guidance and direction by the Director. Is expected to perform most job duties independently and in accordance with established departmental and hospital policies and procedures.
III. Orientation Period:
Minimum of 2 weeks contingent upon experience. Additional orientation may be required and is determined by Department Director / Designee.
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Swedish Medical Center.
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This position starts available on: Wed, 26 Feb 2014 17:36:43 GMT