Manager Care Management

2 weeks ago

Lexington, United States CommonSpirit Health Full time

Overview: Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky. Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry. Their mission was to provide compassionate care to the poor and underserved – a tradition still carried out today. Saint Joseph Hospital primarily serves central and eastern Kentucky with a full range of services including distinguished awards for cardiology orthopedics and stroke care. CHI Saint Joseph Health supports 5000 active employees 8 hospitals specialty clinics and a Medical Group with more than 200 locations across Central and Eastern KY. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities: Job Summary / Purpose

Provides leadership to Care Management RNs, Social Workers, Utilization Management RNs and support staff to accomplish the operational functions and performance goals of the department, which include efficient patient throughput, safe and effective care transitions, and compliance with payer and regulatory. Essential Key Job Responsibilities

Operational Efficiency: Schedules team members so department is adequately staffed and patient needs are met.

Monitors and adjust staffing to achieve productivity targets and accomplish essential work functions of department.

Adjusts staff workloads to meet demand and ensure work is accomplished in a timely manner.

Monitors expenses against budget and plans proactively for departmental costs and charges. Work with director to develop department budgets.

Effectively uses managerial tools and software (e.g. Kronos, Workday, Premier, Lawson, Webnow).

Staff Performance: Interviews and hires staff that are competent and will assist with meeting department goals.

Trains and develops staff to ensure their work is of high quality and aligned with departmental, regulatory and payer requirements

Evaluates staff performance fairy and provides meaningful feedback on progress towards performance goals.

Observes and coaches staff as they perform their work to give real-time feedback

Engages staff in department, hospital and CHI Saint Joseph Health goals and results. Works with staff members to develop and achieve their own performance goals.

Resource/Role Model: Provides expertise in problem-solving for difficult patient issues.

Knowledgeable in all aspects of Utilization Management and Care Management, including CMS regulatory requirements, and ensures compliance

Demonstrates excellent communication and negotiation skills

Role models service excellence, safety behaviors and CHI Saint Joseph Health values

Achieve Results: Uses data to monitor and communicate department performance metrics

Identifies areas for improvement and participates/leads performance improvement activities

Possesses strong organizational skills. Able to prioritize and delegate to manage a challenging workload. Holds staff accountable to accomplish assigned work.

Aligns with organizational goals and works collaboratively with direct reports, peers and hospital leadership to achieve results.

Partners with payers and Revenue Cycle to improve financial performance and ensure payer processes and requirements are met.

Works collaboratively with patients, families, physicians and community partners for care transitions.

Qualifications: Minimum Qualifications

Required Education and Experience Bachelors degree and a minimum of 3 years of leadership experience or minimum of 5 years leadership experience in the discipline or masters degree Required Licensure and Certifications N/A Required Minimum Knowledge, Skills, Abilities and Training Demonstrated experience in case management, discharge planning, and transfer coordination. Case management certification (CCM or ACM) preferred

Knowledge with MCG/Indicia (formally Milliman Care Guidelines) authorization criteria preferred

Experience with Cerner electronic health record preferred

Must have excellent computer skills and ability to learn new systems

Must have strong organizational (time management) skills, strong, interpersonal skills, critical thinking skills and the ability to handle multiple priorities with strong attention to detail

Knowledge of and practical use of good business English, spelling, arithmetic, practices and the ability to communicate effectively using written and verbal skills. Proficient in email communication and internet usage along with basic use of Microsoft Excel and Word

Knowledge of information technology to evlatue care effectiveness (care process, outcomes and cost)

Ability to work autonomously within matrix, environment without direct supervision or support.

#J-18808-Ljbffr

  • Manager Care Management

    2 weeks ago

    Lexington, United States Catholic Health Initiatives Full time

    **Overview** Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky. Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry. Their mission was to provide compassionate care to the poor and underserved - a tradition still carried out today. Saint Joseph...

  • Manager Care Management

    3 weeks ago

    Lexington, Kentucky, United States CommonSpirit Health Full time

    Overview: Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky. Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry. Their mission was to provide compassionate care to the poor and underserved – a tradition still carried out today. Saint Joseph...

  • Quality Manager

    2 weeks ago

    Lexington, United States KCO Resource Management Full time

     As Food Safety and Quality Manager, you will play a critical role in the development of processes that will drive product consistency, quality, and food safety. The FS&Q Manager will oversee the QA department while establishing and maintaining positive cross functional relationships.This role is for a QA Management professional looking for a fast-paced...

  • Targeted Case Manager

    1 week ago

    Lexington, United States Addiction Recovery Care Full time

    Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to...

  • Targeted Case Manager

    2 weeks ago

    Lexington, United States Addiction Recovery Care Full time

    Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to...

  • Community Manager

    3 weeks ago

    Lexington, United States Park Place Communities Management Full time

    Job DescriptionJob DescriptionThe Community Manager (CM) is accountable for all day-to-day property operations and enhancing the value of the property. The CM will primarily focus on community management, resident retention/relations, and daily operations. They are expected to perform regular operational tasks such as collecting rents, performing lease...

  • Targeted Case Manager

    1 month ago

    Lexington, United States Addiction Recovery Care Full time

    Job DescriptionJob DescriptionAre you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!Are you passionate about serving in an environment of shared purpose and shared goals while driving the...

  • RN Care Manager

    1 month ago

    Lexington, Kentucky, United States Shriners Children's Full time

    Company Overview: Shriners Children’s is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our...

  • Safety Manager

    1 day ago

    Lexington, United States Ascent Risk Management Group Full time

    Ascent Safety is seeking a qualified Safety Manager for a client working in Lexington, KY.Project Details:Position is 1099Daily per diem availableProject starts in early JuneQualifications/Education/ Experience:CHST preferred. Must have at least an OSHA 510.3-5 years of excavation experienceat least 5 years safety management experiencePrincipal Duties &...

  • Safety Manager

    5 days ago

    Lexington, United States Ascent Risk Management Group Full time

    Ascent Safety is seeking a qualified Safety Manager for a client working in Lexington, KY.Project Details:Position is 1099Daily per diem availableProject starts in early JuneQualifications/Education/ Experience:CHST preferred. Must have at least an OSHA 510.3-5 years of excavation experienceat least 5 years safety management experiencePrincipal Duties &...

  • Safety Manager

    3 days ago

    Lexington, United States Ascent Risk Management Group Full time

    Ascent Safety is seeking a qualified Safety Manager for a client working in Lexington, KY.Project Details:Position is 1099Daily per diem availableProject starts in early JuneQualifications/Education/ Experience:CHST preferred. Must have at least an OSHA 510.3-5 years of excavation experienceat least 5 years safety management experiencePrincipal Duties &...

  • Clinical Risk Management Representative Senior

    3 weeks ago

    Lexington, United States Central Kentucky Management Services Full time

    Description The ESH Risk Investigator will serve a critical role in managing investigations by working with team members to complete and document investigations within appropriate timeframes. This includes working with patients and staff to resolve patient complaints and grievances. Must comprehend and follow BHDID Incident Management Protocol. Will work...

  • Nurse Manager 3E Progressive Care

    2 weeks ago

    Lexington, United States Catholic Health Initiatives Full time

    **Overview**Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky. Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry. Their mission was to provide compassionate care to the poor and underserved – a tradition still carried out today. Saint Joseph...

  • Food Safety

    2 weeks ago

    Lexington, United States KCO Resource Management Full time

    As Food Safety and Quality Manager, you will play a critical role in the development of processes that will drive product consistency, quality, and food safety. The FS&Q Manager will oversee the QA department while establishing and maintaining positive cross functional relationships. This role is for a QA Management professional looking for a fast-paced...

  • Food Safety

    2 weeks ago

    Lexington, United States KCO Resource Management Full time

    As Food Safety and Quality Manager, you will play a critical role in the development of processes that will drive product consistency, quality, and food safety. The FS&Q Manager will oversee the QA department while establishing and maintaining positive cross functional relationships. This role is for a QA Management professional looking for a fast-paced...

  • Pharmacy Manager

    2 weeks ago

    Lexington, United States CVS Full time

    As Pharmacy Manager, you have one of the most significant roles in our company delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to leading and directing your Pharmacy Staff, comprise Pharmacy Manager, Manager, Pharmacy, Pharmacy Technician, Staff Pharmacist, Health, Retail, Healthcare

  • Scheduling Coordinator

    1 week ago

    Lexington, United States Privatus Care Solutions Full time

    Job DescriptionJob DescriptionPrivatus Care Solutions, a well-established provider of home care services, is searching for a full-time (40 hours) Scheduling Coordinator to join our Lexington location. This position will require a detail-oriented team player that genuinely enjoys helping people, problem solving, and delivering top-notch customer service.We...

  • Property Manager Residential

    3 weeks ago

    Lexington-Fayette, United States Pinnacle Property Management Group Full time

    Job DescriptionJob DescriptionWe are seeking a Property Manager Residential to become a part of our team! You will help plan and facilitate all real estate activities and transactions.Responsibilities:Oversee and coordinate all real estate transactionsAttract and educate new tenantsInvestigate and resolve tenant complaintsUpdate and improve properties to...

  • RN Case Manager

    3 weeks ago

    Lexington, United States National Recruiters Full time

    Job DescriptionJob DescriptionJob Title: Case ManagerPosition Overview:The Case Manager is pivotal in coordinating and facilitating comprehensive care for clients within a healthcare or social services setting. They advocate for clients, ensuring their needs are met through effective communication, collaboration, and resource management.Primary...

  • Targeted Case Manager

    3 weeks ago

    Lexington, United States Optimal Living Services Full time

    Job DescriptionJob DescriptionThe role of the case manager is to enhance the quality of patient management, maximize satisfaction and promote cost effectiveness. The successful candidate will be accountable for the full patient care cycle. Case manager duties include assessing, planning, implementing, monitoring and evaluating actions required to meet the...