Manager, Care Managment at South Seminole Hospital

Position Summary :

Department : SSH Care Mangement

Status : Full - Time / 40 hrs a week / M - F

MUST WORK ONE WEEKEND A MONTH

MUST WORK ONE MAJOR AND ONE MINOR VACATION

Title : Manager, Care Mangement

ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL

Located in Longwood, Florida, Orlando Health South Seminole Hospital is a comprehensive medical, surgical and behavioral health facility with 126 acute-care beds and 80 inpatient behavioral health beds.

Orlando Health South Seminole has a 30-bed ER, surgical department, endoscopy center and diagnostic cardiac catheterization laboratory.

It also provides a full range of outpatient services, including diagnostic and interventional radiology, nuclear medicine, laboratory, surgery, MRI, psychotherapy services and hyperbaric oxygen therapy for wound care.

Orlando Health South Seminole is proudly recognized among the nation’s Best Regional Hospitals by U.S. News & World Report, Great Community Hospitals by Becker’s Healthcare and Best Places to Work by Modern Healthcare, named for four consecutive years.

Orlando Health South Seminole is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida’s east to west coasts and beyond.

Collectively, our 27,000+ team members honor our over 100-year legacy by providing professional and compassionate care to the patients, families and communities we serve.

ORLANDO HEALTH LAKE MARY HOSPITAL GRAND OPENING JANUARY 11TH, 2025

Orlando Health Lake Mary Hospital, opening in January 2025, is where advanced medical care meets compassionate service. Housed in a six-story building, our state-of-the-art facility features 180 beds with the ability to expand up to 240 beds.

We are designed to provide comprehensive healthcare solutions, from emergency services and surgical care to specialized treatments.

Orlando Health Is Your Best Place to Work is not just something we say, it’s our promise to you.

Top Reasons to Choose Orlando Health - South Seminole Hospital :

South Seminole Hospital is Nationally Recognized for the BEST Places to Work!

Benefits Package that begins on day one (Full-Time & Part-Time only).

Flexible Schedules

Tuition Reimbursement up to $5,000 a year.

Position Summary :

Leads the care management team in facilitating appropriate use of hospital resources and effective discharge planning and coordination of services to transition patients to the next appropriate level of care.

Responsibilities :

Manages educational, financial and human resources for the care management teams to deliver high quality, cost effective, and responsive patient-focused health care services.

Coordinates the workload distribution and scheduling of the care management team members to assure adequate and appropriate staffing to meet the needs of patients and families within the Orlando Health network.

Develops collaborative relationships with the site leadership, medical staff leadership, managed care contractors, and community leaders.

Supports positive relationships with payors and develops plans to optimize reimbursement and quality of care.

Monitors working DRGs and GMLOS assignment as appropriate.

Implements the performance improvement process to include outcome measurement as it relates to the identification of processes / strategies / opportunities that promote population health.

Achieves results by developing strategies to manage patient care across the continuum, focusing on high risk, high cost and problem prone areas to include patient at risk for re-admission.

Supports processes for clinical quality / cost-improvement initiatives / preventing re-hospitalizations.

Develops recommendations to expand the integration of post-acute care services and hospital operations to better meet the needs of Orlando Health and the community.

Designs educational strategies to assure compliance with regulatory standards for NCQA, HIPAA, CMS, and other local, state and federal organizations as applicable.

Coordinates budget implementation with regard to payroll, supplies and miscellaneous other functions that deal with the financial performance of the departments overseen,

Serves as a department intermediary for service problems.

Ensures incident reports are completed appropriately and follows up with incident reports as needed.

Organizes / leads staff meetings and huddles.

Embraces, promotes and communicates change.

Demonstrates professional accountability by maintaining proficiency in assigned role and involvement in professional organizations and continuing education.

Holds self and others accountable to Orlando Health’s mission, vision and values.

Develops and recommends concepts relative to new business opportunities, subsidiary organizations, acquisitions, current business design or other organization structuring to optimize organizational strength and meet operating mission.y

Manages various human resources functions including hiring, work assignments, coaching plans, and performance counseling.

Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.

Maintains compliance with all Orlando Health policies and procedures.

Qualifications : Education / Training

Education / Training

Graduate of an approved school of nursing, Master’s in Social Work (MSW), Mental Health Counseling (MHC), or Marriage and Family Therapy (MFT).

Licensure / Certification

Florida RN license required and maintained current if graduated from an approved school of nursing. and BLS / Healthcare Provider certification required.

BLS / Healthcare Provider Certification within 90 days of hire.

Experience

Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care.

Preferred to include at least two (2) years in utilization management.