Case Management Team Lead

Job Description Summary

The Case Management Team Lead reports to the Director of Case Management and/or Manager of Case Management. Under general supervision, the Case Management Team Lead provides professional supervision and direction to care team members in the Case Management Department (RNs, MSWs, Program Coordinators) to achieve the best clinical outcomes for patient groups. This position serves as a clinical expert and resource related to Case Management, discharge planning, and care transitions. This position will absorb a caseload as needed while assisting with leadership duties

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC003747 COL - Case Management (DMC)

Pay Rate Type

Salary

Pay Grade

Health-30

Scheduled Weekly Hours

40

Work Shift

Day (United States of America)

Job Description

Case Manager Team Lead

Entity/Organization:  MUHA (Medical University Hospital Authority/Medical Center)

FLSA Status: Salaried

Hours Per Week: M-F

Job Description/Summary: The Case Management Team Lead reports to the Director of Case Management and/or Manager of Case Management. Under general supervision, the Case Management Team Lead provides professional supervision and direction to care team members in the Case Management Department (RNs, MSWs, Program Coordinators) to achieve the best clinical outcomes for patient groups. This position serves as a clinical expert and resource related to Case Management, discharge planning, and care transitions. This position will absorb a caseload as needed while assisting with leadership duties

Job Responsibilities:

Job Responsibility: Assists with coordinating the daily operation of the team to ensure the needs of the Service Lines and patients are being met.

Success Criteria:

Assists with coordinating the daily operation of the CM Team to ensure all patients are assigned to a Case Manager and Social Worker as needed. Develop and maintain a work schedule for the CM Team ensuring adequate coverage.

Provide guidance, direction, and education to CM Team as needed to achieve department goals and hospital strategic initiatives.

Monitor LOS and readmission data and communicate finds to the CM Team.

Serve as a mentor to new employees and verify competencies.

Complete administrative duties as designated by the Director.

Job Responsibility:

Function as a clinical expert and resource regarding resource utilization and case management.

Success Criteria:

Maintain expert level of knowledge of body systems and expected clinical outcomes for patient disease process to develop a plan of care and discharge plan for clinically complex patients.

Maintain current knowledge of changes in state and federal regulatory requirements related to the provision of case management services in a tertiary acute care setting.

Provide services in accordance with standards of practice as established by department and management.

Serve as a resource to the team, patient and family in the identification of health care resources.

Interact with organizational leaders to represent Case Management.

Develop partnerships with outside agencies to enhance the care continuum.

Participate in organizational initiatives which involve Case Management alongside other leaders.

Participate in hospital wide leader on-call and weekend coverage as defined by the Case Management Department.

Assist with coverage as needed.

Job Responsibility: Promote coordination of care to achieve successful clinical outcomes for patients.  Responsible for meeting the Case Management needs of a designated caseload of patients.

Success Criteria:

Participate in interdisciplinary team rounds and complex case rounds to identify patients in need of added support in discharge planning.

Identify and collaborate with care team regarding management of complex patients.

Assist with coordinating care to maintain continuity across a variety of patient care settings.

Negotiate approval of the plan of care with third party payers and external agencies as necessary.

Utilize and provide assistance to care team members using programs and department funds as appropriate to expedite discharge processes.

Evaluate plan of care outcomes based on LOS, readmission rates, and CMS dat