Care Manager, Acute Care Services

4 weeks ago

Round Lake, Illinois, United States Northshore Full time
Job Summary

This role oversees the day-to-day operations of the Cross Care Continuum teams, ensuring continuity in service delivery to patients receiving acute care services. The Manager is accountable for budget functions, including forecasting resource needs, creating and implementing annual staffing and operations budgets, and recommending capital needs. The Manager selects, hires, develops, supervises, and evaluates professional care management staff, including RNs and Social Workers, and unlicensed support staff. They lead clinical initiatives to achieve clinical and financial metrics, contributing to the clinical, quality, financial, and patient engagement outcomes of the health system.

Responsibilities and Essential Functions
  1. Provides managerial oversight to a diverse staff, facilitating patient care coordination within acute care services. Maintains optimal staffing levels to execute designated care management and utilization management strategies for hospitalized patients, ensuring consistency and continuity in assignments.
  2. Collaborates with physician and administrative leaders to ensure completion of requested peer-to-peer clinical payer reviews; keeps team informed of NorthShore care management program performance results.
  3. Uses data to drive improvement in patient care management and utilization of health system resources. Regularly shares performance data with staff to engage them in improvement activities.
  4. Provides consistent communication to staff in an atmosphere of openness that welcomes participation; conducts departmental staff meetings at least monthly.
  5. Promotes a positive practice environment that encourages professional growth and accountability.
  6. Provides staff support to health system committees; presents data, analysis, and recommendations in a concise, coherent manner to appropriate audiences.
  7. Leads and/or participates in improvement activities within the department and more broadly across the organization to promote continuous improvement in clinical and operational outcomes.
  8. Independently problem solves operational issues in the department to foster positive employee engagement.
  9. Works continuously to achieve "top box" patient engagement results for the department and organization.
Qualifications

Models behaviors and organizational standards to promote quality, patient safety, and enhanced patient care coordination. Serves as a role model for professional commitment, professional behavior, and effective problem-solving. Serves as a resource for staff on complex cases/situations. Serves as a resource for interpretation of regulatory requirements and assures department and personnel practices are consistent with law, regulation, policy, and professional standards.

Requirements
  • Bachelor's Degree in a healthcare-related field (Nursing/Social Work/Therapy) required. Master's degree preferred.
  • Active, unencumbered license to practice in clinical discipline of Nursing/Social Work/Therapy required.
  • Certified case management ACMA or CMSA preferred.
  • Minimum five years of quality management/care coordination/healthcare experience in a hospital setting.
  • Minimum three years of management and/or leadership experience.

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