Manager Care ManagementAltamonte Springs, FL (Altamonte Springs)

Care Management Manager

At AdventHealth Orlando, what started as a converted farmhouse in rural Central Florida has become Central Florida's major tertiary health care facility. Patients come from the Southeast, the Caribbean and even as far as South America for our proven expertise and compassionate health care.

With a variety of Orlando hospital jobs, we invite you to start or elevate your career with a new job at AdventHealth Orlando. We constantly seek out Orlando nurses, medical assistants, nurse assistants, patient care and health administration professionals who share our passion for whole-person health care.

Every day, our fellow team members show up to work, unified by one shared mission : Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

The role you'll contribute :

The Care Management Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and supervision of team members.

The Care Management Manager is responsible for, but not limited to : Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation of processes based upon data management, accountability for Length of Stay, Excess Days, Avoidable Days, Readmission Prevention, and Discharge Planning. In addition, the Care Management Manager is responsible for department engagement, customer experience, compliance of regulatory standards, and employee evaluations. The Care Management Manager supports professional and collaborative relationships with the Interdisciplinary Team to sustain process improvement and attain hospital metrics.

The value you'll bring to the team :

Supports the daily operations of the Care Management department (both Inpatient and Emergency Department settings). Implements Corporate Care Management strategies, Implements strategies with a focus on customer experience. Ensures documentation compliance of the Care Management department (Discharge Planning Evaluation, IMM, MOON, Patient Choice, etc.). Identifies and utilizes resources to support information sharing amongst staff

Actively participates in daily Multidisciplinary Rounds ensuring staff participation on their assigned units to discuss transition of the patient to the post-acute setting and barriers to the plan. Assures staff documentation is completed per guidelines as evidenced by appropriate monitoring techniques, coaches' staff as needed. Assures patients are routinely assessed for post-hospital needs and documentation occurs within 1 calendar day of patient admission, Advocates and escalates pace of care delays

Assures discharge plans are developed in collaboration with patient, family caregivers, care team and payor. Assures effective discharge planning to meet patient needs, meet regulatory requirements and achieve organization objectives related to readmission reduction. Supports implementation of processes as directed by system for identification of at-risk populations and acquires necessary resources / services to improve patients' chances of successful self-management.

Seeks opportunities for improvement in quality of care / services. Reports pertinent quality / risk issues to appropriate individuals, departments and / or committees in a timely manner. Participates on performance improvement teams as appropriate. Monitors and documents activities ongoing to substantiate the effectiveness of care management activities to achieve compliance with external agencies

Assists in the development and oversees the implementation of Care Management policies, procedures, and standards. Plans, organizes, and delegates activities as required for safe, efficient and effective operations of the unit / area including active participation with other hospital and leadership staff to accomplish this purpose. Holds regular staff meetings and encourages staff to share information and participate in decision making. Maintains excellent professional relationships with facility and divisional leadership. Communicates and collaborates across the Care Management team in the areas of data and information management, performance improvement, care coordination, care transition management, medication management, and social services

Monitors and meets productivity standards and staffing needs. Fosters a work environment favorable to retaining staff. Responsible for personnel functions including staffing, performance reviews and corrective action. Promotes professional growth and development of employees. Maintains a predictable schedule, including time on and off shifts such as weekends and holidays. Maintains collegial relationships with staff, physicians, and other departments. Maintains open communication with staff. Hires and retains individuals with appropriate skills and works to develop staff to their highest potential

The expertise and experiences you'll need to succeed :

Minimum qualifications :

Registered Nurse : BSN or

Social Worker : BSW Masters in related field

3 years in direct Care Management / Utilization Management experience in an acute care setting

Preferred qualifications :

• Registered Nurse : BSN Masters in related field
• Social Worker : MSW LCSW
• 2 years of supervisory / lead / manager level of responsibility experience
• RN-BC Certification in Care Management
• LCSW

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category : Case Management

Organization : AdventHealth Orlando

Schedule : Full-time

Shift : 1 - Day

Req ID : 25025261

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability / handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.