Manager, Care Management Social Work - Unity Center

Responsibilities

• Manages the day-to-day Care Management operations for a designated hospital and surrounding clinics.
• Provides administrative leadership for the Care Management team, establishing appropriate staffing levels and work assignments.
• Affirms financial/budgetary stewardship and efficient use of resources.
• Ensures financial/budgetary stewardship and efficient use of resources.
• Provides appropriate staff development, coaching, and mentoring.
• Integrates with other site leadership to foster seamless transitions of care and optimal patient outcomes across the continuum.
• Represents Legacy in the community and works effectively with community-based programs, services, and providers.
• Supports Legacy’s mission, vision, and values.
• Creates and/or supports an inspiring department vision.
• Develops and implements business strategies.
• Supports Legacy’s mission, vision, and values.
• Collects, analyzes, evaluates and presents clinical management and operations data to a wide range of audiences.
• Serves as a resource to all stakeholders regarding regulatory issues.
• Guides staff in patient/family discussion of health care goals and decisions with attention to cultural and health literacy implications.
• Reviews managed care contracts to ensure that terms and incentives are achievable and reflective of sound Care Management practices/utilization management.
• Develops and implements mechanisms for staff development.
• Serves as a resource to all stakeholders regarding regulatory issues.
• Participates in preparation of site department budget.
• Maintains, monitors, verifies and reconciles expenditures of budgeted funds identifying cost savings opportunities within operations.
• Develops and implements mechanisms for review of high risk/high-cost cases.
• Incorporates population and chronic disease management strategies in care planning.
• Participates on assigned site and system medical staff committees.
• Confronts challenges and problems with an open mind.
• Uses evidence-based and data-driven approaches.
• Considers multiple perspectives, probable consequences, and relevant stakeholders.
• Obtains stakeholder buy-in.
• Demonstrates sound fiscal stewardship.
• Understands and applies financial management principles.
• Facilitates continuous quality improvement by employing Lean principles and analyzing quality indicators, such as clinical outcomes, patient safety measures, and customer satisfaction data.
• Engages staff in quality improvement efforts.
• Develops comprehensive quality improvement plans.
• Implements improvements and evaluate success.
• Leads change, promotes system-ness and champions new system initiatives and improvements.
• Leverages resources and partnerships.
• Utilizes systems thinking in networking, negotiating and building cooperative relationships with others across the system and surrounding communities.
• Builds and maintains motivated and committed teams.
• Communicates clearly, respectfully and professionally.
• Pursues professional-development.

Qualifications

• Master of Social Work degree from an accredited School of Social Work required.
• Minimum of 4 years of behavioral health experience is required. One of the 4 years of experience must be related to case management, care coordination and/or community/transitions planning.
• Progressive Leadership Experience Required With Demonstrated Results.
• Basic knowledge of clinical operations, Lean principles/workflow planning, staffing, and scheduling, budget and resource management, data analysis and continuous quality improvement.
• Knowledge/Skills Demonstrated knowledge of six core components of case management: Psychosocial aspects Healthcare reimbursement Rehabilitation Healthcare management and delivery Principles of practice i.e. CMS guidelines, medical necessity criteria Case Management concepts Excellent organization, oral and written communication skills for effective interaction with staff and other stakeholders.
• Demonstrated coaching and staff development skills.
• Proficient statistical analytic skills.
• Working Knowledge Of Transition planning across the continuum. Health care reimbursement Utilization management processes, including medical necessity and CMS guidelines. Regulatory issues. Community resources Able to link care management initiatives to organizational strategic goals and objectives.
• Health literate oral and written communication skills as well as public speaking proficiency.
• Strong and effective conflict resolution skills.
• Keyboard skills and ability to navigate electronic systems applicable to job functions.
• Licensure Current applicable state (OR and/or WA) licensure required (LCSW).

Pay Range

USD $72.54 - USD $109.53 /Hr.