Manager Care Management

4 months ago

Vero Beach, United States Cleveland Clinic Full time

Join our team at Cleveland Clinic Indian River Hospital, and experience world-class healthcare at its best. Cleveland Clinic Indian River has been recognized as one of the top regional hospitals in South Florida. Indian River Hospital is in sunny Florida's Treasure Coast where it is committed to providing optimal family-centric and community-focused care. At Indian River Hospital, you will be part of a collaborative, compassionate, and innovative team of caregivers. You will work with state-of-the-art technology and will build a rewarding career with one of the most respected healthcare organizations in the world. The Manager Care Management has a multifaceted role with primary responsibility for assessing, planning, directing, implementing and evaluating all activities in assigned department. You will help develop, coordinate, implement and evaluate a program to continuously assess and improve the performance of care and services provided. Your duties will include but are not limited to: Providing counseling and disciplinary action in cooperation with the Human Resources. Developing and maintains ongoing process and quality improvement programs. Communicating and collaborating with other departmental staff for problem identification and resolution. Maintaining professional knowledge and skills related to specific area of responsibility.The Future Caregiver is someone who: Has High-level management and leadership skills. Can schedule and manage tasks effectively. Has written and verbal communication skills. Has teamwork and motivational skills. Has organizational and multitasking skills.This is a rewarding opportunity that offers growth-oriented projects, mentorship, support, and resources. You will experience great exposure to both the institute and department leadership and have numerous opportunities for career growth.At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.Responsibilities:Assists with hiring, orienting, evaluating and supervising performance of the care management and social work staff.Arranges schedules, evaluate caseloads and makes daily assignments.Evaluates and addresses educational needs of staff, conducts performance improvement management and issues corrective action as needed and ensures consistent applications of policies and compliance.Provides input into the department budget, policies and procedures. Assists in the development of department practices and procedures for utilization review and discharge planning, ensuring compliance with managed care contracts and Medicare regulations.Analyzes productivity and other outcome measures to identify opportunities for continuous improvement.Manages information systems to maximize the efficiency of discharge planning.Develops and monitors routine data quality validation.Acts as liaison with other review-related and discharge planning related functions and communicates with departments as necessary to ensure coordination of related processes and functions.Establish relationships with post acute care providers.Serves as a clinical subject matter expert for teams lead by other disciplines.Other duties as assigned.Education: Candidate must meet either the Nursing or Social Work education requirements.Registered Nurse: Bachelor of Science in Nursing (BSN) or Bachelor's in related field required. Master's degree in nursing or related field preferred.Social Work: Master's degree in Social Work accredited by the Council on Social Work Education.Certifications:For Registered Nurses: Current and valid license to practice as a Registered Nurse (RN) in state of employment required.Professional certification as a Case Manager (CCM) preferred.For Social Workers: Current and valid license to practice as Licensed Social Worker (LSW) in state of employment plexity of Work: Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.Must be able to work in a stressful environment.WorkExperience: Minimum three years of experience in utilization management, case management, or discharge planning and three years clinical experience required, with at least three years of experience in a hospital/health care setting, including experience with data collection and performance improvement activities preferred.Previously supervisory experience in the field of care management or social work preferred.Physical Requirements: Requires the ability to sit and be stationary for prolonged periods of time, normal or corrected vision and manual dexterity sufficient to perform work on a personal computer.Requires the ability to walk to various locations throughout the Clinic and facilities.Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects.Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.Note: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.Personal Protective Equipment: Follows standard precautions using personal protective equipment as required.Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.

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