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2 months ago
ChristianaCare Wilmington Hospital is seeking an experienced Nurse Manager to lead our Case Management Department. As a key member of our team, you will be responsible for managing the daily operations of the department and providing effective discharge planning services to patients.
Scope, Purpose, and Frequency of Contacts:- Daily contact with Physicians, Case Managers, Patient Financial Services, HIMS, and Managed Care Organizations.
- Frequent contact with the nursing department, ancillary departments, healthcare and referring community facilities and agencies.
- Regular communication with Directors, Physician Advisors, and Social Work.
- Manages daily operations of the Care Management Team and serves as an expert resource for staff and Christiana Care leadership related to care management functions.
- Evaluates and provides feedback/recommendation of information technology software that allows for comprehensive, longitudinal care management of an identified population.
- Develops and implements applicable care management processes, policies, and procedures.
- Prepares and reviews annual performance appraisals with employees.
- Develops systems and processes to effectively manage collaborative relationships with external third-party payers.
- Identifies areas of potential compliance risk and develops strategies to mitigate risk in collaboration with the Compliance Officer and staff.
- Maintains strong working relationship with compliance office and staff and actively engages in all compliance activities as requested.
- Assists in the preparation of the annual operating and capital budget.
- Develops processes for the accurate capture of data to maintain a care management dashboard reflective of key performance measures.
- Collaborates with Data Informatics team to analyze data and makes recommendations for program development/changes based on data analysis.
- Collaborates with key internal stakeholders to develop and implement processes, policies & procedures to manage the transition of patients effectively and efficiently in accordance with state, federal and payer standards and regulations.
- Demonstrates knowledge of local, state, and federal reimbursement guidelines.
- Coordinates and facilitates department meetings.
- Maintains a collaborative professional relationship with clinicians and administrative staff to develop, implement, and evaluate successful process outcomes.
- Collaborates with Physician Advisors as needed.
- Delaware RN License or compact state RN License.
- Bachelor's degree required.
- MSN or MBA preferred.
- Five years' experience in Case Management in an Acute Care hospital setting is preferred.
- Three years supervisory/management experience preferred.
- All candidates must be able to maintain required documented hours of relevant continuing education related to licensure requirements.
- Ability to ambulate with the hospital setting.
- Sitting, standing and lifting loads of 5-10 pounds.
- Ability to utilize computer equipment.
- Frequent travel to multiple sites as needed.
- Occasional exposure to office materials.
- Normal office environment.
