Care Home Matron

4 weeks ago

Wilmington, United States ChristianaCare Full time
p>Nurse Manager - Case Management

Day Shift (Hours: 8a-4:30) No Weekends or Holiday

Wilmington, DE

ChristianaCare Wilmington Hospital is looking for an energetic, motivated Nurse Manager for our Case Management Department to manage the daily operations of the Care Management department staff and to provide effective and efficient discharge planning services to patients in accordance with policies, procedures, regulatory requirements consistent with CCHS.

SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS:

Daily contact with Physicians, Case Managers, Patient Financial Services, HIMS, and Managed Care Organizations.  Frequent contact with the nursing department, ancillary departments, healthcare and referring community facilities and agencies.  Regular communication with Directors, Physician Advisors, and Social Work.

  • Manages daily operations of the Care Management Team and Serves as an expert resource or staff and Christiana Care leadership related to care management functions.
  • Evaluates and provides feedback/recommendation of information technology software that allows for comprehensive, longitudinal care management of an identified population of patients.
  • Facilitates the development of care management guidelines, algorithms, and protocols.
  • Develops and implements applicable care management processes, policies, and procedures.
  • Prepares and reviews annual performance appraisals with employees.
  • Identifies areas of potential compliance risk and develops strategies to mitigate risk in collaboration with the Compliance Officer and staff.
  • Maintains strong working relationship with compliance office and staff and actively engages in all compliance activities as requested.
  • Develops processes for the accurate capture of data to maintain a care management dashboard reflective of key performance measures.
  • Collaborates with Data Informatics team to analyze data and makes recommendations for program development/changes based on data analysis.
  • Collaboration with the key internal stakeholders, develops and implements processes, policies & procedures to manage the transition of patients effectively and efficiently in accordance with state, federal and payer standards and regulations.
  • Demonstrates knowledge of local, state, and federal reimbursement guidelines.
  • Maintains a collaborative professional relationship with clinicians and administrative staff to develop, implement, and evaluate successful process outcomes.

Education, Experience & Leadership Requirements:

  • Delaware RN License or compact state RN License   
  • Bachelor’s degree required.

  • MSN or MBA preferred.

  • Five years' experience in Case Management in an Acute Care hospital setting is preferred.   
  • All candidates must be able to maintains required documented hours of relevant continuing education related to licensure requirements.

Physical Demands:

  • Ability to ambulate with the hospital setting.  Sitting, standing and lifting loads of 5-10 pounds
  • Ability to utilize computer equipment.

Working Conditions:

  • Frequent travel to multiple sites as needed.  Occasional exposure to office materials.  Normal office environment.

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