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Manager-Inpatient Care Management Social Work

2 months ago

Pittsburg, United States Mercy Full time

We're a Little DifferentOur mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its "Top 100 Places to Work."Overview:The Manager of Care Management is responsible for the direction, leadership and oversight management for the assigned Care Management departments. This position is designed to facilitate an effective process of the Mercy Care Management Model supporting quality patient care, patient safety and financial components; promoting integration of a seamless care model; coordinating patient throughput; collaborating with facilities to include leadership coordination as evidenced by metrics, optimizing performance and adoption of best practice.Sets expectations, develops plans, and manages processes to measure, assess and improve quality, patient outcomes and Care Management metrics.Responsible for development and monitoring key operational aspects such as budget, Care Management metrics, human resource planning and customer service.Collaborates with Care Management and Mercy facility leadership in the development of performance improvement indicators and best practices, identification of clinical and operational opportunities for improvement and is responsible for outcomes.Communicates performance improvement indicators, best practices, clinical and operation opportunities for improvement with Care Management co-workers.Develops and supervises action plans to implement identified improvements to resolve problems, increase effectiveness and efficiency, maximize resources and/or decrease cost and length of stay as evidenced by metric dashboards.Reports the analysis of Care Managements performance, statistical data and results of completion of action plans to Care Management and Mercy facility leadership Provides direction and oversight management for the assigned inpatient Care Management department.Collaborates with Care Management and Mercy facility leadership in developing, evaluating and revising assigned Care Management Department to meet Mercy facility and customer needs.Performs as a resource in the field of care management, discharge planning, social work, utilization management as needed.Oversees the process for delivering of non-coverage letters and other notices to inpatients.Analyzes patient case cost and length of stay reports.Analyzes/reviews reports involving quality and quantity of Care Management co-workers performance and is responsible for providing performance improvement feedback to Care Management co-workers supervised.Directs Care Management activities involved with the accreditation process. Implements Care Management processes to ensure optimal risk management and regulatory compliance.Assesses identified potential risk management or clinical quality issues and resolves them through intervention or collaboration with other members of the healthcare team as appropriate or refers the issue to the appropriate individual(s).Interprets accrediting agency standards of care, State and Federal regulations and/or other review organization standards and third-party payor contracts for Care Management coworkers.Keeps accurate, updated Care Management co-worker files which contain documentation of current licensure, Cardiopulmonary Resuscitation (CPR) certification, record of continuing education and mandatory inservice attendance.Qualifications:Experience: 3 years clinical experience in social work, case management, or related field.Required Education: Bachelors in Social Work (BSW) is required. Masters in Social Work (MSW) is preferred.Certifications: LCSW (Licensed Clinical Social Work) or LMSW (Licensed Master Level Social Worker) is preferred.Other: - Strong verbal and written communication and facilitation skill, Minimum Required - Strong assessment skills, time management skills, critical thinking skills, Minimum Required- Advanced computer skills, Minimum Required - Must have excellent customer service, Minimum Required - Must have ability to interact effectively with a variety of people and situations at all levels of the organization, Minimum Required- Knowledge of InterQual criteria, PreferredWe Offer Great Benefits:Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay periodWe're bringing to life a healing ministry through compassionate care.At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all.What Makes You a Good Match for Mercy? Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care - that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.EEO/AA/Minorities/Females/Disabled/Veterans