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Clinical Operations Manager

2 months ago

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

The Care Management Supervisor is a key member of the Hackensack Meridian Health team, responsible for overseeing the care management process and ensuring that patients receive high-quality, efficient care. This role requires strong leadership and communication skills, as well as the ability to analyze data and make informed decisions.

Key Responsibilities
  • Collaborative Care Management: Facilitate the management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
  • Staff Supervision: Supervise staff with all care management processes, including length of stay, throughput, patient flow, and denials and appeals follow-up.
  • Process Improvement: Apply process improvement methodologies in evaluating team member documentation and ensure that multidisciplinary rounds and team huddles are occurring.
  • Performance Management: Develop performance improvement plans for care managers, document performance, and provide performance feedback, evaluate the work of team members, and provide reward and recognition for proper and efficient performance.
  • Regulatory Compliance: Participate in departmental preparation for regulatory visits and compliance audits, and ensure that care meets evidence-based practice standards and regulatory/payor requirements.
Requirements
  • Education: Bachelor's degree, Nursing or Master's Degree in Social Work.
  • Experience: At least 3 years full-time experience in an acute care setting.
  • Skills: 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.
  • Licenses and Certifications: NJ State Professional Registered Nurse License or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker.