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    Manager Case Management - Nashville, United States - Healthcare Recruitment Partners

    Healthcare Recruitment Partners
    Healthcare Recruitment Partners Nashville, United States

    1 week ago

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    Description

    RN or MSW Manager of Care Coordination - Inpatient Hospital
    Nashville, Tennessee

    The RN/MSW Manager of Case Management works with the Director of Case Management. The RN/MSW Manager of Case Management is responsible for functional and operational aspects of the Case Management / Social Work Department, an integrated, multi-disciplinary department. The RN/MSW Manager of Case Management supports caregivers to provide the highest quality, most clinically appropriate care to patients.

    Qualifications:

    • Must have Acute Hospital Leadership experience
    • BSN with a Master's or MSW required
    • Bachelor of Science in Nursing (BSN) degree required
    • Masters Required
    • Management experience in inpatient Case Management, Social Work or Utilization Management department

    Responsibilities:

    • Provides the leadership to have a competent and satisfied employee group by doing timely performance appraisals, providing development and mentoring of subordinates and staff
    • Hires, coaches, trains, disciplines and terminates staff as necessary
    • Plans and organizes day-to-day operations, schedule and activities of the work group Sets priorities and functional standards; gives direction to staff
    • Makes and executes decisions within delegated authority
    • Surfaces issues to management for resolution as appropriate
    • Participates in resolving issues outside delegated scope of authority
    • Supports maximization of Care Management system and recommends appropriate uses for the Care Management system
    • Collaborates with departmental management and/or staff, IT personnel, other functional areas, and software vendors as appropriate to determine information needs and ensure timely information updates
    • Conducts special studies, performs informational analysis, and develops special reports as requested through system tools and resources
    • Generates reports to identify trends and opportunities for process improvement
    • Prepared data for presentation
    • Develops audit reports to identify quality issues and to identify areas for enhanced staff training
    • Collaborates with the Director of Case Management/Social Work on Criteria and Policy Key Development, and the Prior Authorization List
    • Provides leadership to ensure operational effectiveness and efficiency
    • Oversees the quality assurance and quality improvement processes
    • Collaborates with medical and clinical leadership to implement new processes for enhancing service levels
    • Participates in planning, budgeting and general management efforts for the department of which the unit is a part and stays within budget
    • Evaluates departmental procedures and operations as they relate to information technology and recommends changes to improve efficiency and effectiveness as appropriate
    • Ensures the effective use of departmental information system by coordinating initial training for new users
    • Promotes the most cost-effective utilization of resources
    • Provides leadership, guidance and direction to staff
    • Maintains accountability for level of unit performance and results
    • Quality, functional excellence and contribution to accomplishment of strategic and operational objectives
    • Design, implementation, training, and resources for the Care Management system
    • Possesses the ability to interact with corporate and hospital administrators, medical staff, and defined customers
    • Responsible for the Care Management reporting system to ensure organization priorities are appropriately addressed

    Additional Skills:

    • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
    • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with activities impacting patient or employee safety or security
    • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
    • Leadership skills
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