drjobs Manager Care Management

Manager Care Management

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1 Vacancy
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Job Location drjobs

College Station, TX - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Overview

St. Joseph Health Bryan/College Station Navasota Caldwell Madisonville TX. Since 1936 St. Joseph Health has been caring for the communities in and surrounding the Brazos Valley. We have a Level III Trauma Center the first Joint Commission certified Primary Stroke Center and the first accredited Chest Pain Center in the Brazos Valley. St. Joseph Health is a leader in critical care and the largest provider of cardiovascular care in the region. As an integrated healthcare system St. Joseph Health includes a comprehensive network of over 100 employed providers including primary care physicians specialists and advanced practice clinicians. The network includes more than 30 ambulatory clinics featuring primary care Express Clinics and imaging and diagnostic services.

Responsibilities

The Manager of Care Coordination assists the Director with Administrative duties and acts in the Directors place in her/his absence.

The following will be REQUIRED in order to be considered for the Manager Care Management postion.

  • Must be a Registered Nurse (RN)
  • Must have have a minimum of Five (5) years experience in Case Management or Care Coordination.

Responsible for the daily oversight of the daily operations and coordination for designated units related to the activities assigned to Case Management staff including daily team operations internal and external departmental relations and recruitment/evaluation of staff. This includes both internal and external case managers in order to meet regulatory guidelines and maintain or obtain Manage Care contracts. Proactively Develops and promotes methodologies that effect staff productivity. Serves as the subject matter expert for case management Functions and regulatory compliance for the director and department members.

Essential Key Job Responsibilities

  1. Facilitates staff a. Provides leadership direction and coordination of assignments for staff. b. Assesses daily staffing needs and Provides staffing resources to ensure efficient and effective coordination of services. c. Responsible for performance appraisals corrective action for team members.
  2. Clinical Management a. Serves as a clinical resource for utilization management compliance for the rules and regulations for government non-government payers and regulatory agencies. b. Collaborates with the medical staff nursing staff patient family decision maker(s) other disciplines int he coordination of the plan of care. c. Use of critical thinking skills in the development of care plans.
  3. Monitoring of departmental goals a. Collaborates with Director and staff to implement monitor and review enhance plans to achieve established for the department. b. Reviews reports applicable to CIC and responds with an appropriate action plan. c. Reviews work assignments and projects of the department staff to ensure departmental goals are achieved.
  4. Outcomes Management a. Participates in the development implementation evaluation of policies and procedures. b. Assesses data and implementation of process(as) improvement initiatives as needed.
  5. Professional Development a. Initiates and Participates in activities to enhance professional development. b. Serves as a resource to staff by providing coaching in order to promote staff member accountability and responsibility.

Qualifications

Required Education and Experience:

Education: Bachelors degree

Experience: 5 years of case management experience and 3 years leadership experience

Required License and Certification:

Registered Nurse (RN)

Required Minimum Knowledge Skills Abilities and Training:

Strong verbal and written communication skills knowledge of CMS and TJC regulations

#LI-CHI
#TXLeadership


Required Experience:

Manager

Employment Type

Unclear

Company Industry

About Company

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