Care Management Supervisor
7 days ago
We are seeking a highly skilled and experienced Care Management Supervisor to join our team at Hackensack Meridian Health. As a key member of our care management team, you will be responsible for overseeing the coordination of patient care across the continuum, ensuring timely and efficient care delivery and reimbursement.
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 members' 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 performance improvement plans for care managers, document performance, and provide performance feedback.
- Determine areas of opportunity and suggest process improvements.
- Follow HR policies for performance and disciplinary action.
- Participate in departmental preparation for regulatory visits and compliance audits.
- Coordinate and 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.
- 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.
- 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.
- Proficient computer skills, including Microsoft Office and/or Google Suite platforms.
- NJ State Professional Registered Nurse License or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker.
- Basic Cardiac Life Support Certificate.
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