Full employer posting
Purpose of Position: The manager of the Clinical Resource Department is responsible for the daily operations and clinical management of Case Management, Utilization Review, and Social Work, with a secondary focus on the Clinical Documentation team. This role oversees functions related to discharge planning, utilization management, and care coordination/high-risk patient processes while maintaining the integrity of daily operations.
Additionally, this position is responsible for developing and conducting ongoing education and process improvement for CM/SW staff. Primary Duties and
Manage day-to-day operations of the case management and social services program staff and workflows, including scheduling and performance evaluations. Assist the Manager of Operations with the Clinical Documentation team as needed. Conduct regular rounds on patient units to identify problem areas and assist with facilitating the discharge process.
Develop and complete continuing education programs for Clinical Resources Management staff, including case managers and social workers, specifically related to role functions and implementation of new processes. Provide ongoing program education for new staff, including new Case Managers, Trainee program hires, social workers, physicians, nurses, and allied health professionals, focusing on discharge planning and utilization review.
Track and trend Clinical Resource Management program compliance. Create a dashboard to identify opportunities for improvement and implement process improvement activities around identified areas. Develop, mentor, and coach continual improvement in collaborative practice between physicians, nurses, and the clinical resource team, and within the clinical resource department.
Analyze and review program metrics using knowledge of systems used in the departments. Stay current with regulatory changes in the case management field. Challenge existing practices; identify process improvement opportunities and present recommendations and solutions to management.
Engage and commit to the organization's culture of continuous improvement by actively participating, supporting, and promoting Pillars of Excellence. Education/Experience/Training: Minimum of 3 years of acute care experience within the past 5 years, with broad clinical experience in a hospital setting or case management. Working knowledge of InterQual or equivalent system.
Bachelor’s degree in Nursing required, Master’s degree preferred. Certification in Case Management or Clinical Documentation Integrity preferred. Two years of experience in process improvement; minimum 5 years of Case Management experience in an acute setting.
Experience in developing and presenting professional continuing education programs. Knowledge of CMS regulations. Excellent computer skills with familiarity with Windows-based software programs.
Strong organizational, analytical, writing, and interpersonal skills. Management/supervisory experience preferred. Trusted Nurse Staffing Benefits We provide reliable, experienced support finding work, securing training, and succeeding in your assignment.
Your Trusted team member will customize your pay package and benefits to fit your lifestyle. Benefits include:
- Comprehensive Dental, Health, & Vision Benefits
- HRA Card to Fully Cover Healthcare Deductibles
- Student Loan Assistance Program
- Earn $1,500 for Every Referral
- Retirement & Disability Plans Including 401(k) After One Year
- License, Certification, & CEU Reimbursement
Additional
- Flexible Contracts
- Customized Pay Packages
- Welcome Gift Box
- Weekly Paychecks and Direct Deposit
- Whole Life and Accident Insurance
About the role
Manage day-to-day operations of the case management and social services program staff and workflows, including scheduling and performance evaluations. Assist the Manager of Operations with the Clinical Documentation team as needed.