Supv Care Mgmt Throughput

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position. 

Promotes the achievement of optimal clinical and resource utilization allocation, facilitates appropriate lengths of stay and reimbursement for all hospital admissions in accordance with goals and objectives. Act as a key informational and educational resource liaison for team. Works to develop organizational approaches to patient delays and throughput challenges. Analyzes current systems and variances to identify opportunities for improvement. Works to promote quality of care through collaboration with all service team members, patients and families.



Supports department executive leadership team by demonstrating effective leadership, communication and conflict resolution skills.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Masters Social Work Degree required

2. LGSW/LCSW/LICSW  certification in the state of West Virginia required

EXPERIENCE:

1. 7 years of clinical hospital experience required including a minimum of 2 years in Care Management experience

2. Care Management Certification (or obtained within 1 year of hire)

OR

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s Degree Required

2. Current West Virginia license as a Registered Professional Nurse

EXPERIENCE:

1. 7 years of clinical hospital experience required including a minimum of 2 years in Care Management experience

2. Care Management Certification (or obtained within 1 year of hire)

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Previous Supervisory experience preferred

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Serves as the CM Department expert resource within the Central Command Center and offers ongoing support and collaboration with the team.

2. Conducts weekly Clinical-Financial meetings to monitor patients with high dollar, high LOS and/or social barriers. Collaborates with multidisciplinary team to problem solve for these cases.

3. Oversees external transportation flow and problem solves accordingly.

4. Working knowledge of regulatory requirements and insurance coverage/limitations as it relates to care delivery in the acute setting and transitioning to the non-acute setting.

5 Participate in weekly meetings with new employees and Preceptor during orientation phase to evaluate the staff progress and adjust plans accordingly.

6. Performs annual performance reviews in conjunction with department Manager.

7. Demonstrates clinical expertise by serving as a resource and role model for department personnel.

8. Provides guidance on complex high acuity patient assessments and interventions, and intervenes accordingly.

9. Provides timely and comprehensive documentation of interactions with patients/families.

10. Serves as department expert in removal of barriers to the next level of care.

11. Manages Length of Stay/throughput by removing discharge barriers and maximizing care delivery for appropriate use of acute care days and patient resources.

12. Supports an environment for innovation, creativity and empowerment with care delivery based on current literature and research.

13. Demonstrates regard for the dignity, respect and safety of all patients, significant others, visitors and hospital personnel as defined in the philosophy of the organization.

14. Promotes and contributes positively to intradepartmental and interdepartmental relationships.

15. Contributes positively to the teamwork of the department by assisting other staff, contributing ideas and helping to resolve problems

16. Serves as role model and promotes within the staff effective communication and conflict resolution skills, reflecting quality service attitudes and keeping consumer satisfaction in mind.

17. Serves on various hospital committees as needed or assigned.

18. Educates hospital staff and physicians to payer regulations and managed care principals to ensure seamless patient care.

19. Fosters the integration of staff and/or students into the healthcare team

20. Improves and maintains management skills by