Manager Care Coordination Social Work

3 weeks ago

Carmichael, United States Common Spirit Full time

Overview

Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area's largest and most comprehensive medical centers. Dedicated to the community's well-being our staff and volunteers provide excellence in care for our patients each year. Mercy San Juan Medical Center has received recognition for being a Comprehensive Stroke Center and Center of Excellence for Bariatric Surgery along with Certificates of Excellence in Perinatal Care Hip- and Knee- Replacement.

Responsibilities

The Manager of Care Coordination is responsible for the oversight of Care Coordination and Social Services, including, but not limited to: clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review. This position, in collaboration with the Department Director, will oversee the department in an efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality patient care. The Manager consults and collaborates with other managers, departments, physicians, administration and healthcare workers regarding departmental activities or initiatives.This position leads or participates in quality and process improvement projects related to care coordination functions.The Manager is responsible for all performance management activities, including hiring, training or disciplinary issues. This position will conduct, lead,facilitate,or participate in staff meetings, interdepartmental meetings, post acute care provider meetings or patient/family meetings as appropriate.The manager will develop or participate in the development of the departmental operating budget, and monitor scheduling and expenditures to veriy that the department is operating within the established business plan.This position reviews documentation or utilization data for the purposes of reporting, trending, quality improvement or validation of compliance as indicated. The Manager guides department operations according to the organizational objectives, hospital policies, standards of practice and Federal and State Regulations.

* Conveys the need and aligns those involved at the facilities and service levels around plans and goals.
* Facilitates activities and meetings as needed to ensure rapid forward movement of sustainable solutions. In collaboration with the regional and facility care coordination directors creates project plans including implementation communication education and accountability plans
* Provides education and training for teams across the continuum of care on change management lean approaches six sigma and project management
* Assists in developing the annual operating plan and schedule for strategic implementation across the continuum of care.
* Responsible for the oversight and management of these areas, including organizing and executing all activities, staffing, performance improvement in the delivery of clinical services (such as LOS reduction), and reporting needs within the Medical Center and Dignity Health, as well as government and regulatory reporting.
* Guides Care Coordination activities according to the needs, requirements, and policies of the Medical Center, the affiliated medical groups and health plans, Dignity Health, any Federal and State agencies, and according to standard practices of the professions under the manager's accountability.
* Consult and collaborate with other managers, physicians, administration, and community based healthcare workers regarding care management issues identified through corporate or facility initiatives and current literature.
* Work closely with all departments at the medical center and the post-acute service providers to streamline the patient transition through the health care system and into the community post discharge.
* Participates regularly in Medical Center or Service Area, meetings pertinent to the accountable areas, and also participates in performance improvement teams and programs as necessary.


* Requires the full understanding and active participation in fulfilling the Mission of the Organization. It is expected the manager will demonstrate behavior consistent with the Core Values of the organization. The manager will support the Organization's strategic plan and the goals and direction of the Performance Improvement Plan (PIP).


* Considers the population served by the medical center and area clinical integration programs and leads efforts to optimize care coordination across the care continuum. This coordination ensures a plan of care for patients in all stages of health needs.


* Performs other related duties as assigned or requested in a professional manner.



Qualifications

REQUIRES

* Masters Degree in Social Work from a university or college accredited by the Council of Social Work Education.
* Current CA License for Social Work
* Minimum of 3 years in a hospital based Clinical Social Work role.
* Excellent customer service and presentation skills are a must Strong interpersonal and written communication skills are essential Demonstrated ability to apply analytical and problem solving skills Demonstrated ability to manage multiple tasks or projects effectively Ability to work independently as needed with a high degree of detail orientation Capable of planning and organizing projects with short notice Ability to work efficiently in a fast-paced environment with changing priorities.
* Comprehensive knowledge of care management, clinical social work and discharge planning. Working knowledge of Medicare review process and regulations. Effective communication skills, especially with medical staff. Working knowledge of finance and budgetary process, and government billing regulations. Knowledge of Conditions of Participation and Joint Commission standards.

PREFERS:

* Minimum of 3 years lead, supervisory or equivalent experience in an acute hospital setting preferred.
* ACMA certification preferred

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