Manager, Case Management

Job Description
Job Summary:
Responsible and accountable for providing overall leadership and management of care management throughout the hospital. Responsible for directing the activities of care coordination team to assure patient needs are met. Demonstrates the ability to assess, plan, implement and evaluate the care of patients of the following ages: pediatric, adolescent, adult, geriatric so as to treat the patients' human responses through integration of the physical, psychological, sociocultural, and spiritual dimensions of healing. Directs appropriate utilization of resources and achievement of clinical and financial outcomes.

Responsibilities:

• Responsible for daily operations of care management to hospital units.
• Responsible for management and coordination of Behavioral Health services for SJHS Sonoma County.
• Responsible for oversight of transitional care/CARE Network post-acute program and staff.
• Responsible for participation and implementation of Population Health/Clinical programs and objectives throughout continuum of care.
• Performs annual review/revision of Care Management/CARE Network Department Policy and Procedure Manuals.
• Provides input regarding annual budget and ensures budgetary compliance on a monthly and annual basis.
• Assumes responsibility for departmental compliance and interdisciplinary compliance with all JCAHO, Title XXII, and federal regulations.
• Manage human resources issues including progressive disciplinary actions when necessary, oversees staffing and scheduling. Responsible for orientation, training, supervision, and evaluation of Care Management and Population Health/Clinical personnel.
• Ensures patient, employee, physician and customer satisfaction. Develops and promotes effective communication.
• Sets and submits measurable, achievable dept goals. Sets expectations, develop plans, and manages the process to assess, improve, and maintain the quality of the organization's governance, management, clinical and support activities.

Additional Responsibilities:

• Assists the Director of Care Management in special projects
• Performs other duties as assigned.

Knowledge / Skills / Experience:

• Advanced skills in Care management
• Knowledge of Title XXII and JCAHO requirements
• Effective interpersonal skills
• Strong organizational skills and ability to effectively present written and verbal information
• Knowledge of regulatory requirements necessary to integrate into patient care delivery system
• Demonstrates knowledge, judgment and organizational abilities to meet the needs of the patients served
• Demonstrates and models professionalism, critical thinking/judgment and partnership in all interactions
• Demonstrates knowledge and accountability for fiscal aspect of department operations; develops and monitors operational budget and productivity measurements; submits and justifies capital budget requests

Requirements

Education: BA or BS degree in healthcare related field. RN/BSN/Masters preferred.

Experience: 2 years case management experience. One (1) year of leadership experience

License/Certification: Current CA Registered Nurse (RN) license preferred.
Certificate in Care Manager (CCM) or Accredited Care Manager (ACM) preferred