Care Management Specialist
7 days ago
Care Management, Manager
About the RoleWe are seeking an experienced Care Management, Manager to join our team at Roland & Associates LLC. As a key member of our healthcare operations team, you will be responsible for ensuring the delivery of quality services in accordance with established hospital, departmental and regulatory/accreditation agency standards.
ResponsibilitiesThe successful candidate will have:
- Overall responsibility for the operations of their assigned department, including quality assurance and performance improvement initiatives;
- Management of personnel, budget preparation and monitoring, and employee compliance with hospital policies and procedures;
- Ensuring employee orientation, skill competency, and continuing education requirements are met, as per regulatory requirements;
- Participation in the hospital Performance Improvement Program and development of department-specific PI plans;
- Assessment of outliers and areas for improvement, with follow-up actions to address these issues;
- Representation on committees, task forces, and projects as required;
- Provision of a safe employee/patient environment and investigation of staff incidents and safety concerns.
To be considered for this role, you will require:
- A minimum of 5 years managerial experience within an acute hospital setting;
- Previous experience as a case manager, with knowledge of healthcare financial, regulatory, and payer issues;
- Understanding of state, local, and federal programs, as well as experience with Milliman/Interqual criteria;
- Computer skills, with proficiency in Microsoft Office and ability to utilize a computer effectively;
- Physical ability to move quickly throughout the work environment and hospital;
- Strong analytical and problem-solving skills, with ability to communicate effectively with patients and staff;
- Demonstrated ability to follow written and oral instructions, as well as prioritize tasks and solve problems efficiently.
$85,000 - $110,000 per annum, depending on experience and qualifications.
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