Description

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Summary:

Responsible for day-to-day operations for designated Clinical Care Management Department team(s). Provides management direction to Case Managers, Utilization Managers, Clinical Social Workers, Clinical Authorization Specialists, and Operational staff. Accountable for team Personnel Management, Fiscal Management, Communication, Customer Services, Goals/Outcomes Management, and Quality/Process Improvement Initiatives to ensure high level of quality consistent with organizational standards. Reports to the Assistant Director of Clinical Care Management.

Responsibilities:

1. Assists Assistant Director in establishing systems, processes, people, and education that will improve internal and external customer satisfaction and positive results for the team, department, and institution. Roles models and leads team staff in supporting and mentoring team in customer service excellence.

2. Communication - Provides regular communication to staff by leading, participating in, and/or overseeing team meetings and team building activities. Participates in committees promoting effective communication between Clinical Care Management and other clinical areas. Role models and leads staff in supporting departmental and institutional expectations in customer service excellence. Develops and maintains positive relationships with key individuals in other hospital departments to enhance team processes.

3. Fiscal Management - Makes team budget recommendations and projections to Assistant Director. Monitors approved budget versus actual expenditures to reconcile as needed to achieve cost effective use of resources. Oversees tracking and trending of team productivity statistics regularly reports team productivity measures to Assistant Director.

4. Goals/Outcomes Management - Collaborates with Assistant Director to establish goals for the team that are congruent with hospital and departmental goals. Reviews performance to ensure staff is meeting or exceeding target outcome goals. Assists the Assistant Director in ensuring the collecting, analyzing, evaluating, measuring, and presenting of clinical care management operational data. Uses data to take corrective action as needed to benefit the team, department, and/or institution.

5. Personnel Management - Manages personnel functions for designated Clinical Care Management Department team staff. Interviews and selects candidates for hiring, coordinates orientation for new staff, develops work plans, conducts performance reviews, recommends compensation, and conducts disciplinary action using hospital and departmental personnel guidelines.

6. Quality & Compliance - Leads continuous quality improvement efforts in conjunction with the department Assistant Director. Helps ensures compliance with regulatory requirements related to clinical care management, TJC and Health Care System policies. Develops appropriate departmental policies and procedures oversees team auditing requirements. Ensures best practices for various team roles.

Other Information

Other information:

Education Requirements:

● Must hold one of the following degrees: MSW, MSN, MHA, MBA, or MHI.

Licensure/Certification Requirements:

● RN, LCSW, or LCSWA required.

Professional Experience Requirements:

● Five (5) years of experience in care management, utilization management, discharge planning, care coordination, nursing, or social work required or equivalent combination of education and experience. Two (2) years of demonstrated health care leadership experience is also required.

Knowledge/Skills/and Abilities Requirements:

● Knowledge of TJC, federal and state standards and health care operations

Job Details

Legal Employer: NCHEALTH

Entity: Caldwell Memorial Hospital

Organization Unit: Case Management

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $35.52 - $51.05 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: US:NC:Lenoir

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.