Schedule:

Full time

Shift:

Day (United States of America)

Address:

1035 RED BUD RD NE

City:

CALHOUN

State:

Georgia

Postal Code:

30701

Job Description:

Work Schedule: Monday - Friday 8:30am - 5pm
• Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services while ensuring compliance with CMS CoPs and federal/state regulations.
• Oversees recruitment, retention, staffing, and leadership development activities to ensure strong care management team performance.
• Collaborates with interdisciplinary hospital leaders, executives, post-acute care entities, and Utilization Management to improve patient outcomes, care transitions, and reduce readmissions.
• Identifies and leads operational, workflow, and technology improvement initiatives to enhance staff efficiency, patient outcomes, and departmental performance.
• Develops, implements, and ensures compliance with care management policies, standard operating procedures, operational strategies, and fiscal accountability measures.

Knowledge, Skills, and Abilities:
• Understanding of medical necessity for appropriate patient status and level of care
• Understanding of Care Management best practices
• Ability to research and reason best practices to support process improvement
• Strong verbal and electronic communication skills
• Ability to analyze, evaluate and monitor data in addition to provide action plans
• Supports positive employee relations and customer experience
• Understanding of Microsoft Office Products and other appropriate software platforms
• Understanding of CMS Conditions of Participation for Discharge Planning
• Understanding of Managed Care and Value Based Programs
• Ability to work autonomously with self-direction
• Ability to work as a collaborative partner of a diverse leadership team
• Ability to lead and sustain change
• Knowledge of change management principles, methodologies, and tools [Required]
Education:
• Master's [Required]
Field of Study:
• Master's in Social Work OR Bachelor's in Social Work & Master’s in related field

Work Experience:
• 5+ direct care management experience [Required]
• 3+ care management leadership experience [Required]• 2+ social work experience [Required]
Additional Information:
• Additional licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements.

Licenses and Certifications:
• Accredited Case Manager (ACM) [Preferred]• Certified Case Manager (CCM) [Preferred]

Pay Range:

$87,269.71 - $162,323.53