Manager, Case Management

General Summary

Assumes 24 hour accountability for managing the functions of Care Coordination and Discharge Planning. Along with the Manager of Utilization Management, serves as the central resource to the Director of Care Management to develop financial reimbursement strategies which are efficient, effective, timely and patient-centered. Responsible for meeting accountabilities of the Care Management Dashboard. Collaborates with all disciplines, departments, payers, system partners, vendors, and community agencies to optimize clinical outcomes within best practice, ethical, legal, and regulatory parameters.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by staff assigned to this classification. They are not to be construed as an exhaustive list of all duties.

• Direct oversight of the Care Management Lead (s) and Case Management and/or Social Work staff.
• Completes annual and interim performance reviews for all staff and contributes to performance reviews of other professionals and support staff as requested. Develops a growth plan for each employee.
• Manages hiring and performance management of staff.
• Keeps key statistics and participates in the maintenance of the Care Management Dashboard, using data to better understand strengths and weaknesses of the hospital and department, and to determine needs, decisions, and strategies.
• Manages, and constantly evaluates staffing levels, assignments, skills, learning needs, and deployment of staff.
• Manages structures and processes to facilitate participation by physicians, rehabilitation, pastoral care, social work, and other health professionals in multidisciplinary care planning, care delivery, and discharge planning.
• Participates and fosters performance improvement within the department and organizationally.
• Manages the operational budget.
• Partners with physicians and the Physician Advisor (s) for effective relationships with physicians, services, specialties, etc.
• Facilitates investigation of patient care issues/complaints.