Pennsylvania Medicine

Manager Case Management (Full Time/Days)

Pennsylvania Medicine • $75K — $95K *
Lancaster, PA 17603In-Person
Healthcare
Less than 5 years of experience
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Job Overview by Ladders

Qualifications

  • Registered Nurse (RN) or Social Worker with relevant health care degree / MSW from accredited institution required.
  • Minimum three years of experience in utilization management.
  • Minimum three years of experience in acute care or health insurance settings.
  • Minimum three years of experience collaborating with physicians and executive staff.
  • Minimum two years of experience in a leadership or management role.
  • Certification in Case Management must be obtained within one year of hire.

Responsibilities

  • Provide clinical oversight to case management staff and daily operations.
  • Assist clinical teams in meeting strategic goals and overseeing special projects.
  • Promote individual and departmental development by facilitating staff education.
  • Supervise clinical activities related to patient care and documentation standards.
  • Monitor departmental budget needs and prepare relevant reports.
  • Ensure data quality and productivity, setting standards with the Director.
  • Develop systems and processes to efficiently manage healthcare consumer needs.

Benefits

  • Comprehensive compensation and benefits program.
  • One of the finest prepaid tuition assistance programs in the region.
  • Commitment to employee health and wellness.
Full Job Description
LOCATION: Lancaster, PA - Lancaster General Hospital

HOURS: Full Time. Monday-Friday, days. No weekends.

Summary:

Under the direction of the Director, the Manager is responsible for assessing, planning, and providing support to Case Managers, Support Center Staff, and Utilization Coordinators in the Case Management department. Works closely with the Director in coordinating the daily activities of the case management department regarding overall clinical development, implementation and supervision of care management services to our patients and families

Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:
  • Provides clinical oversight to the case management staff. Responsible for overseeing the daily operations of the team and coordination of department needs which include timecards, benefit records, interviews, hiring, training, coaching and mentoring in coordinating case management activities across the continuum.
  • Assists clinical teams with ongoing processes, meeting strategic goals and special projects.
  • Promotes individual and department development and assists staff in maintaining educational requirements. Supervises all clinical activities related to patient care, establishing standards of care and documentation of such.
  • Provides clinical guidance and assesses employee competency and maintains ongoing record of staffs' performance and documentation including solicitation of input from others and completes department performance review processes.
  • Assists the Director with department budget needs. Maintains procedures and data quality monitoring plans and prepares reports.
  • Monitors data quality and productivity. Works with the Director to set quality and productivity standards, reports, and takes corrective action where appropriate.
  • Participates in the building of systems and processes to most effectively manage healthcare consumer needs (information systems, marketing, quality, and utilization management).
  • Collects objective data with regard to the clinical performance, behavior and self-development of each staff member.
The following duties are considered secondary to the primary duties listed above:
  • Develops working relationship with all inpatient nursing unit managers, their staff, and physicians to provide foundation for efficient case management services.
  • Works closely with Physician Advisors to oversee and coordinate utilization management functions.
  • Other duties as assigned.

Minimum Required Qualifications:
  • An RN or Social Worker is required for this role, with specific requirements being one of the following:
    • Current RN license, issued by the PA Board of Nursing and bachelor's degree in nursing BSN OR
    • A related health care degree OR master's degree in social work MSW from an accredited school or program.
  • Three 3 years of experience with utilization management
  • Three 3 years of experience in acute care or health insurance environment.
  • Three 3 years of experience working with physicians, staff and executive staff.
  • Two 2 years of experience leading or managing others.
  • Certification in Case Management or must obtain within one year of hire.
Preferred Qualifications:

  • Five 5 years clinical hospital experience.
  • Management experience in nursing or related healthcare position.
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

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About Pennsylvania Medicine

The University of Pennsylvania is a private Ivy League research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universities by numerous organizations and scholars. While the university dates its founding to 1740, it was created by Benjamin Franklin and leading Philadelphia citizens in 1749 . The University has four undergraduate schools as well as twelve graduate and professional schools. Schools enrolling undergraduates include the College of Arts and Sciences, the School of Engineering and Applied Science, the Wharton School, and the School of Nursing. Among its highly ranked graduate schools are its law school, whose first professor wrote the first draft of the United States Constitution, its medical school, the first in North America, and Wharton, the first collegiate business school. Penn's endowment is US$20.7 billion, putting it amongst the wealthiest academic institutions in the world, and its 2019 research budget was $1.02 billion. Penn was one of nine colonial colleges chartered before the U.S. Declaration of Independence when Benjamin Franklin, the university's founder and first president, advocated for an educational institution that trained leaders in academia, commerce, and public service. The campus, in the University City neighborhood of Philadelphia, is centered around College Hall, and notable landmarks are Houston Hall, the first modern "student union", and Franklin Field, the first double-decker college football stadium. Penn also is the home of the Morris Arboretum, the official arboretum of the Commonwealth of Pennsylvania, which is located 15 miles northwest of the campus, in the Chestnut Hill section of Philadelphia. The university's athletics program, the Quakers, fields varsity teams in 33 sports as a member of the NCAA Division I Ivy League conference.
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* Ladders Estimates

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