Manager of Hospital Care Coordination

2 weeks ago


Reno, Nevada, United States Renown Health Full time
Position Overview

This role is pivotal in overseeing the Hospital Care Coordination Department.


The objective of the Hospital Care Coordination program is to enhance the quality of care, ensure cost-effective patient outcomes, and optimize resource utilization while addressing the needs of patients, families, referring healthcare providers, agencies, and payers.

This position acts as a vital resource and support for team members in managing care coordination throughout the continuum of services. The incumbent will have access to sensitive patient and hospital data and will make decisions independently or in collaboration with others.

The individual provides direct services to patients and is accountable for administrative responsibilities and budget management.

Key Responsibilities

The incumbent is accountable for:

  • Strategizing, organizing, directing, and assessing Utilization Management and Case Management teams.
  • Tracking the success of program goals and implementing modifications to enhance outcomes.
  • Collaborating with the Manager to prepare, execute, and oversee departmental operating and capital budgets, ensuring adherence to allocated funds.
  • Contributing to the formulation of departmental policies and procedures. Assigning and allocating staff to optimize personnel utilization in relation to patient, service line, and organizational requirements.
  • Initiating hiring and termination processes, conducting timely annual performance evaluations, and providing coaching.
  • Scheduling and overseeing assignments, managing staffing levels to align with budgetary constraints.
  • Offering guidance, training, and addressing disciplinary matters.
  • Fostering a supportive environment towards departmental and organizational objectives, plans, policies, and procedures.
  • Advocating for the role of utilization management and case management within the Health System through effective collaboration with managers, directors, and physician leaders.
  • Engaging in the planning and development of educational initiatives for Utilization Management and Case Management personnel. Coordinating and documenting departmental orientation and in-service training.
  • Providing expertise and guidance to Hospital Care Coordination staff in resolving complex clinical and financial patient scenarios related to reimbursement issues, discharge planning, utilization review, continuity of care, and systems management.
  • Encouraging a culture of continuous quality improvement. Collaborating within a team environment to manage the overall function of the Hospital Care Coordination service. Actively participating in organizational committees.
  • Engaging in activities of professional associations.
  • Promoting a positive and safe workplace environment.
  • Staying informed about current professional standards in the healthcare field and recommending policy and program adjustments.
  • In partnership with the treatment team, attending physician, and external entities, may provide direct patient care.
  • Performing other related duties as assigned by Health System Administration.
Qualifications

Education:
Must possess a working-level proficiency in the English language, including reading, writing, and speaking.

Experience:
Preferred two years of experience in a care coordination or case management environment. Leadership experience in a healthcare setting is also preferred.

Licensure:
Ability to obtain and maintain Registered Nurse licensure in the State of Nevada.

Certifications:
National certification in Case Management (e.g., CCM, ACM, CPHQ) is preferred. Current AHA BLS certification is required.

Technical Skills:


Proficiency in Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word, along with the capability to utilize the computer for completing online learning requirements, accessing online forms and policies, and managing online benefits enrollment.



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