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 the assigned area(s) of responsibility in alignment with the goals of the Case Management Department. The Manager is accountable for the overall day-to-day oversight and management of the case management program including coordination, supervision, and administrative oversight of the case management team. The Manager functions as an expert clinical practitioner, case management subject-matter expert, resource, advisor, and leader for the members of the case management team. The Manager supervises and monitors professional and support staff and ensures that effective care coordination and case management practices are consistent with hospital policies, and applicable regulations and guidelines. The Manager monitors quality of the interactions, documentation, and assessments of the case management staff. The Manager coordinates activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.
What you will do in this role:- Serve as a role model and function as a clinical resource for staff.
- Supervise and facilitate development of staff and oversee 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 of the department in the absence of the Director.
- Assume responsibility for scheduling and staffing of department.
- Assume responsibility for department education and competencies.
- Complete regular reports assigned by the Director of Case Management.
- Cover staff assignments as needed.
- 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; escalate 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.
What qualifications you will need:- Associate's Degree in Nursing required; Bachelor's in Nursing preferred.
- Current licensure as a Registered Nurse (RN) in state of Tennessee or compact state required.
- 3 years of clinical nursing experience required.
- 2 years of related leadership experience preferred.
- InterQual experience preferred.
- Certification in Case Management preferred.
- Certification in InterQual or IQCI preferred.
Parkridge Medical Center is a 270+ bed hospital. We are near downtown Chattanooga. We feature comprehensive diagnostic, medical, and surgical services. These services include cardiovascular surgery and cancer treatment. These services include intensive care, orthopedic and spine surgery, and rehabilitation. The facility includes a state of the art neurosurgery program. Patients also have access to OB-GYN services. Patients have access to a level III Neonatal Intensive Care Unit. They also have access to (NICU) and behavioral health treatment centers for children and adults.
"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.
