Schedule: Full time
Shift: Day (United States of America)
Address: 40100 HWY 27
City: DAVENPORT
State: Florida
Postal Code: 33837
Job Description: - Oversees the departments recruitment and retention activities, taking action to ensure adequate staff and leadership in care management.
- Actively engages with post-acute care entities to improve patient care transitions and decrease readmissions.
- Leverages and leads technology change management to improve staff efficiencies, drive positive patient outcomes, and maximize the tools care managers utilize to perform their roles.
- Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services. Ensures compliance with CMS CoPs for Discharge Planning as well as related federal and state regulations.
- Responsible to participate in Corporate Care Management meetings, cascade information, and implement strategies with standard work and processes.
- Develops and oversees the implementation and compliance with Care Management policies and standard operating procedures.
- Collaborates with interdisciplinary hospital leaders and executives to achieve organizational goals.
- Develops and meets operational budget performance with oversight to assure capital and fiscal accountability.
- Partners with Utilization Management for the Utilization Review Committee as well as day-to-day operations.
- Identifies improvement opportunities and develops, implements, and monitors action plans.
- Educates and mentors facility Care Management staff and the interdisciplinary teams on data, outcomes, and opportunities.
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]
- Sustained goals of Care Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Care Management program [Preferred]
Education: - Bachelor's in Nursing [Required]
- Master's in Nursing [Preferred]
Work Experience: - 5+ direct care management experience [Required]
- 3+ care management leadership experience [Required]
- 2+ frontline nursing experience [Required]
Licenses and Certifications: - Registered Nurse (RN) [Required]
- Accredited Case Manager (ACM) [Preferred]
- Certified Case Manager (CCM) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/msy4mja2
Pay Range:$90,771.44 - $168,842.62
Background Screening Requirement (Florida Law) Certain positions are subject to
Florida Level 2 background screening, including fingerprinting, as required by state law.
Applicants may review general information about Florida's background screening requirements at the
Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/
