Description

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

• Benefits from Day One

• Career Development

• Student Loan Repayment Program

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: Full Time

Shift : Days

The community you’ll be caring for: AdventHealth Palm Coast - 60 Memorial Medical Pkwy, Palm Coast, FL 32164

The role you’ll contribute:

The Care Management 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 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 Manager is responsible for department engagement, customer experience, compliance of regulatory standards, and employee evaluations. The Care Management 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).

• Ensures documentation compliance of the Care Management department (Discharge Planning Evaluation, IMM, MOON, Patient Choice, etc

• 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

• Assists in the development and oversees the implementation of Case Management policies, procedures, and standards

• Plans, organizes and delegates activities as required for safe, efficient and effective operations of the unit/area including active participation with other hospital and leadership staff to accomplish this purpose

• Holds regular staff meetings; and encourages staff to share information and participate in decision making

• Monitors and meets productivity standards and staffing needs

• Responsible for personnel functions including staffing, performance reviews and corrective action

• Supports financial responsibility of Case Management and viability of department resources

Qualifications

The expertise and experiences you’ll need to succeed:

• Understanding of core Care Management principles and CMS Conditions of Participation strongly preferred

• Knowledge of medical necessity for appropriate patient status and level of care strongly preferred

• Understanding and ability to implement mitigation techniques to attain hospital metrics strongly preferred

• Front line experience with Joint Commission surveyors preferred

• Knowledge of change management principles, methodologies, and tools preferred

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:

• Current registration with Florida State Board of Nursing as a Registered Nurse; BSN or

• Social Worker: BSW + Masters in related field

• 3 years in direct Care Management/Utilization Management experience in an acute care setting

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

• Registered Nurse: BSN + Masters in related field

• Social Worker: MSW + LCSW

• 2 years of supervisory /lead/manager level of responsibility experience

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Case Management

Organization: AdventHealth Palm Coast

Schedule: Full-time

Shift: 1 - Day

Req ID: 23004132

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.