Job Summary and QualificationsThe Manager of Case Management Services is responsible for promoting patient-centered care by coordinating all aspects of hospital-based case management for their assigned area of responsibility in alignment with the goals of the department.
What you will do in this role:- Serve as a role model and functions as a clinical resource for staff.
- Supervise and facilitate development of staff and oversees the day-to-day tasks/activities in the department.
- Ensure staff are competent in the use of InterQual to progress the plan of care.
- Work collaboratively and maintain active communication with physicians, nurses, and other members of the interdisciplinary care team to effect timely, appropriate patient management.
- Monitor the quality of CM interactions with patients, families, physicians, and the multidisciplinary team by regularly shadowing staff to ensure clear understanding and adherence to department processes.
- Monitor quality of documentation and assessments by regularly auditing the case managers' documentation.
- Participate in clinical performance improvement activities. Communicate effectively with patients, family, medical staff, care team members, students, supervisors, and outside contacts.
- Assume responsibility for scheduling, staffing, education, and competencies of department.
- Complete daily, weekly and monthly reports as assigned by the Director of Case Management.
- Seek ways to control costs without compromising patient safety, quality of care, or the services delivered.
- Adhere to established policy and procedure and standards of care; escalates issues promptly through the established chain of command.
- Demonstrate knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
- Serve as an advocate for patient's rights, needs, and values; ensure that patients' ethnic, cultural, or religious values, beliefs, preferences, and needs are considered and aligned.
What qualifications you will need:- Master of Social Work (MSW), CSWE accredited required.
- Certification in social work or case management preferred.
- 3 years of experience in acute care social work preferred.
- 2 years of supervisory/leadership experience preferred.
TriStar Skyline Medical Center is a 350+ bed facility. We are Tennessee's first comprehensive stroke center, a state designated Level 1 Trauma Center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program, an Accredited Chest Pain Center with PCI and serves the North Nashville community as a leading provider of emergency heart care.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.