Job Description

General Summary

Supervises and oversees the work activities of Care Management at specified entity. Works in a team leadership model to develop and maintain departmental operations that are consistent with Hospital, System and community needs. Provides direction to staff regarding care management, discharge planning, social services and utilization management. Provides input into the budget management of resources and works collaboratively with Care Management and Hospital leadership to oversee the around-the-clock operations of care management.

Duties and Responsibilities

• Oversees the hiring of care management staff. Trains/orients personnel, evaluates performance, prepares work schedules and makes recommendations for personnel actions.
• Participates in developing budgets.
• Collaborates with other hospital programs and community agencies with which patients and families are involved to facilitate problem solving and coordinate services.
• Collaborates with hospital leadership to support operational goals and the Care Management support of those goals and participates/represents care management with hospital committees.
• Ensures team members provide effective, quality care coordination and drive progression of patient care.
• Actively monitors standard work flows and provides guidance to staff on issues involving discharge planning, payer relations and utilization review.
• Monitors and shares department Key Performance Indicators and informs hospital and system leadership of areas for improvement and works with leadership and staff to address/resolve.
• Engages with staff to develop lean daily management process to access opportunities for improvement and empowers team to address. Conducts employee/leadership rounding with staff to identify and resolve barriers for staff.
• Demonstrates knowledge of care management, utilization review and population health. Assesses and interprets patient age specific data and provides appropriate, age specific treatment.
• Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Enhances professional growth and development through participation in educational programs, current literature, inservice meetings, and workshops.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Performs other related duties as identified.
• WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
• WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Qualifications

Minimum Education:

• Bachelors Degree Required
• Masters Degree Preferred

Work Experience:

• 3 years Supervisory experience. Required
• Lean Daily Management/quality improvement experience. Preferred

Licenses:

• Licensed Registered Nurse Upon Hire Required or
• Registered Nurse Multi State License Upon Hire Required and
• Basic Life Support Upon Hire Required