Supervisor - Case Management Lead

4 days ago


York, Pennsylvania, United States WellSpan Health Full time
Job Summary

We are seeking a highly skilled and experienced Supervisor - Case Management to join our team at WellSpan Health. As a key member of our Case Management department, you will be responsible for overseeing the operations of our Case Management team and ensuring the delivery of high-quality, cost-effective healthcare services.

Key Responsibilities
  • Supervise and oversee the operations of the Case Management team, ensuring the most efficient use of resources to support the provision of appropriate, cost-effective, and quality healthcare services.
  • Provide oversight of the Case Management team, ensuring compliance with hospital, system, and community requirements and needs.
  • Assist the Manager-Case Management in the provision of leadership and integration of utilization management principles throughout the hospital.
  • Conduct initial reviews to ensure medical appropriateness of setting, concurrent review to ensure medical necessity for continued stay in hospital, and initiate problem-solving techniques as needed to prevent over/under utilization.
  • Conduct chart reviews and analysis of UR and compliance reports, and assist with denial management tasks as directed.
  • Participate with the CM leadership team in developing and maintaining CM policy, including Utilization Review, Social Services, and Clinical Case Management.
  • Identify conditions that require case management across the continuum, and collaborate with members of the patient care team to identify interdisciplinary needs.
  • Advises the Manager-Case Management of known or suspected problems of under-, over-, or inappropriate utilization of resources, and assists with bringing information to the attention of the appropriate hospital administrative staff.
  • Oversee the implementation and daily operations of the lean daily management system.
  • Assess and ensure staff engagement through leadership rounding and employee engagement survey results.
Requirements
  • Bachelor's Degree in Nursing (BSN) required.
  • 2 years of experience in Case Management, Utilization Management, or clinical nursing specialty required.
  • Supervisory experience preferred.
  • Licensed Registered Nurse upon hire required.
  • Basic Life Support upon hire required.
What We Offer

WellSpan Health is an Equal Opportunity Employer and is committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email. We will evaluate requests for accommodation on a case-by-case basis.



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