Supervisor, Care Management Lead

1 week ago

North Bergen, New Jersey, United States Hackensack Meridian Health Full time
About the Role

The Supervisor, Care Management is a key member of our team at Hackensack Meridian Health, responsible for overseeing the department's designated team member caseloads and ensuring that care meets evidence-based practice standards and regulatory/payor requirements.

Key Responsibilities
  • Facilitate collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
  • Supervise staff with all care management processes, including LOS, throughput, patient flow, and denials and appeals follow-up.
  • Apply process improvement methodologies in evaluating team member documentation.
  • Ensure that multidisciplinary rounds and team huddles are occurring.
  • Provide direction to the multidisciplinary team as needed in difficult cases.
  • Obtain, interpret, and present metrics related to care management.
  • Attend key meetings and present information about existing case management processes.
  • Develop the performance improvement plan of the care manager, document performance, and provide performance feedback, evaluate the work of the team member, and provide reward and recognition for proper and efficient performance.
  • Determine areas of opportunities and suggest process improvement.
  • Follow HR policies for performance and disciplinary action. Responsible for disciplinary action and performance improvement plans when appropriate.
  • Participate in departmental preparation for regulatory visits and compliance audits.
  • Coordinate/facilitate patient care progression throughout the continuum by working collaboratively with the multidisciplinary team.
  • Collaborate with ancillary departments to ensure accuracy of patient demographic and insurance information.
  • Assist in the collection and reporting of indicators tracking efficiency of case management processes.
  • Use data to drive decisions and plan/implement performance improvement strategies related to assigned staff, including fiscal, clinical, and patient satisfaction data.
  • Collaborate with Physician Advisors/Hospitalist in needs related to Case Management and difficult cases.
  • Maintain annual competencies and ensure training and continuing education of the team in applicable platforms.
  • Assume responsibility for supervision of other case management care coordination managers in the absence of a Supervisor.
  • Other duties and/or projects as assigned.
Requirements
  • Bachelor's degree, Nursing or Master's Degree in Social Work.
  • At least 3 years full-time experience in an acute care setting.
  • Familiar with hospital resources, community resources, and/or resource/utilization management.
  • Care coordination, case management, or discharge planning experience.
  • Effective decision-making/problem-solving skills, demonstration of creativity in problem-solving, and influential leadership skills.
  • Excellent verbal, written, and presentation skills. Moderate to expert computer skills.
  • Excellent written and verbal communication skills.
  • Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.
Licenses and Certifications
  • NJ State Professional Registered Nurse License or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker.
Licenses and Certifications Preferred
  • Basic Cardiac Life Support Certificate.

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