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Trinity Health Manager, Case Management in Pontiac, Michigan

Previous inpatient case management experience desired.

I Accountability Objectives:

Responsible for the efficient and effective management of assigned operations within the Outcomes Management Department. Directs technical and operational activities to facilitate the attainment of departmental and organizational goals and objectives. Oversight of Care Coordination processes and collaborating with patient care team. Facilitates and monitors the development, implementation, revision and maintenance of clinical data bases. Overseeing, mentoring and coaching associates as needed.

II Position Qualifications:

Minimum Education, Licensure / Certification and Experience Required.

A. Education

**

  • **Bachelors Degree in Nursing Required

**

  • **Master of Science in Nursing or allied health discipline (i.e Social Work) preferred

B. Licensure / Certification

  • CCM or ACM (Case Management certifications preferred). Selected candidate will have to sit for

certifications within 1 year if they are not certified at the time of hire.

**

  • **Certification in CPUR or CPUM preferred.

C Special Skill / Aptitudes

**

  • **Excellent customer service orientation skills necessary in order to deal effectively with various levels of

hospital personnel, outside customers and community groups.

  • Thorough understanding of admission and discharge criteria, discharge planning concepts, insurance

requirements and documentation

**

  • **Interpersonal skills necessary in order to provide effective leadership to assigned areas of responsibility.

  • Analytical skills necessary to organize and oversee the work of associates and to assist in the development

and implementation of policies/procedures, budgets and other hospital initiatives.

**

  • **Ability to work autonomously and can be directly accountable for the Departments outcomes.

**

  • Proficient computer skills in FirstNet, Cerner Powerchart, Healthquest, Excel and Allscript.**

**

  • **Outstanding written and oral communication skills.

**

  • Thorough knowledge of Medicare Conditions of Participation for Acute Care**

**

  • Thorough knowledge of Interqual Intensity of Service and Patient care/ severity of illness criteria.**

D. Experience

  • Minimum of **3 years of case management experience.

**

  • **Minimum of 2 years experience in management preferred.

III Duties / Responsibilities:

1 Manages and coordinates activities of the Outcomes Management Department. Ensures adherence to

department policies/procedures and guidelines.

2 Organizes and monitors daily department operations to ensure collaboration with all the members of the

health care team. Oversees length of stay (LOS) and complex discharge planning issues and handles as

appropriate.

3 Assists in the development of departments strategic goals and programs which actively supports the

organization and division.

4 Develops collaborative relationships with physician leadership in clinical areas as it relates to outcomes.

5 Provides leadership related to the development and use of care management tools.

6 Assists with the development and monitoring of the department budget. Analyzes variances and develops

action plans as needed.

7 Accountable for the various departments assigned and their staffing plans, recruitment, hiring, orientation,

disciplining, counseling, and education. Organizes and participates in performance appraisal process of all

team members.

8 Assist in development of Impact Plan as a way to build employee satisfaction and engagement

9 Evaluates operational data to report/communicate identified metrics to physicians and staff as appropriate

Maintains staff professional portfolios, timely performance and competency evaluations and conducts annual

needs assessment to determine educational priorities for care coordination staff.

10 Maintains professional growth and development necessary to keep current with healthcare trends in care

coordination and clinical documentation.

11 Maintains current knowledge regarding federal and state regulations, legal updates, and third party payer

requirements.

12 Consistent with organizational vision for hiring, disciplining, assigning work to and monitoring work of

associates within the Care Coordination department

13 Involves staff in developing duties and responsibilities to support the organizations service excellence

standards.

14 Collaborates with Physician Advisor to facilitate effective processes that will ensure appropriate use of

resources

15 Provides guidance to PLP and Social workers on discharge alternatives ; provides InterQual criteria expertise

to support PLP/SW decision making. Monitors LOS and provides feedback ton appropriate staff/ groups.

16 Provides leadership for organizational projects and initiatives related to utilization management, patient

access and clinical documentation.

17 Develop and maintain Clinical Documentation training program that incorporates appropriate disciplines in

the educational process.

18**Demonstrates and actively promotes an understanding and commitment to the mission of St. Joseph Mercy

Oakland through performing behaviors consistent with the Trinity Health Values.

**

  • **Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity

Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as

other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and

professional behaviors.

**

  • **Supports and conducts one's self in a manner consistent with customer service expectations.

IV Dept/Unit Specific:

Not Applicable

V Working Conditions:

IMPORTANT INFORMATION: This section describes the anticipated typical means of accomplishing the

essential functions of the job.

  • Has potential for exposure to infectious diseases, hazardous waste and chemicals.

  • Position requires high level of mental concentration to attain established deadlines. Working environment

includes frequent interruptions.

  • Position requires the use of hands for simple and firm grasping and fine manipulating.

  • In a typical day, the colleague may sit for 35%, stand for 45%, and walk for 20% of the day; occasional

bending/stooping (6-10% of work time).

  • Your request for reasonable accommodation should be accompanied by a description of how you propose to

perform the essential function.

  • Should you be unable to accomplish any function, or to perform it in the manner described, you may request

reasonable accommodation pursuant to the Americans with Disabilities Act and the Idaho Human Rights Act.

Apply

Job Number: 00142902

Location: Pontiac, MI

Organization Name: Saint Joseph Mercy Health System

Facility: SJSEMI - On Camp Hosp-Tax

Employment Type: Full time

Shift: Day Shift

Hours: 40

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