Manager - Inpatient Care Management

About the role

. - Responsibilities: we have "Major Responsibilities" list. We'll output under

Responsibilities

. - Requirements: we have Minimum Job Requirements (Education, Certification/License, Experience). Also Preferred Job Requirements (Preferred Education). Could combine into Requirements section? The instruction: Use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have Requirements (maybe includes both minimum and preferred). Qualifications could be separate but we may not have distinct qualifications beyond requirements. Skills maybe not explicit. We'll include Requirements with both minimum and preferred. - Benefits: we have benefits description. So include Benefits section. - Pay: we have Pay Range $47.50 - $71.25. So include Pay section. - Schedule: we have Hours Per Week 40, Schedule Details Monday - Friday 0730 - 1630. So include Schedule section. We must not repeat job title as heading. Not include Job ID etc. We must not include sections with filler like "commensurate with experience". We have actual content. We must preserve all substantive information; do not invent or summarize away detail. So we need to include all details from the posting, but we can condense into prose or lists as appropriate, but must not lose info. We need to be careful to include all responsibilities bullet points exactly (or paraphrased? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. That suggests we should not omit any detail, but we can rephrase? Safer to keep the bullet points as they are, maybe slightly trimmed but keep meaning. We'll copy them as list items. We need to include the Minimum Job Requirements details: Education: Bachelor's Degree in Nursing or Master’s Degree in Social Work or related field. Certification / Registration / License: If BSN, RN license required; if social worker, license/certification preferred (or as required). Accredited Case Manager (ACM) or SW (ACM) certification issued by ACMA needs to be obtained within 1 year, or RN or SW: Certified Case Manager (CCM) issued by CCMC needs to be obtained within 1 year, or RN: Nursing Case Management (RN-BC) certification issued by ANCC needs to be obtained within 1 year, or SW: Certified Social Worker in Health Care (C-SWHC) issued by NASW to be obtained within 1 year. Experience: 3 years of experience in a relevant clinical setting. Preferred Job Requirements: Preferred Education Masters in Social Work preferred. We also have "This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties." That's generic boilerplate; maybe we can drop as it's not specific. It's like a disclaimer. Might be considered boilerplate; we can drop. "Our Commitment to You" includes benefits; we already captured benefits. "About Advocate Health" is company overview; could be considered not required but maybe we can include under "About the role"? Actually "About the role" is for role description; we already have that. The company overview may be considered extra but not required. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The "About Advocate Health" is not exactly boilerplate but it's generic company description; could be considered not essential to the role. However, we might keep it as part of "About the role"? But the role description already includes the overview of the role. The company overview may be considered not needed. I'd drop it to keep focused. We must output only HTML fragment, no /, no markdown. Let's structure:

About the role

Atrium Health Union, Union West, and Anson are seeking a Manager to lead their inpatient care management teams. This role oversees the Care Management (CM) and Social Work (SW) programs and provides direct leadership and development for site-based staff. The Manager collaborates with hospital leaders, post-acute partners, physicians, physician advisors, nurses, and other stakeholders to support timely care progression, discharge planning, and compliance with regulatory and utilization management requirements. The role also promotes ongoing communication and education related to care coordination, alternative payment models, regulatory standards, and performance improvement. Experience managing multiple locations is strongly preferred.

Responsibilities

• Provides management oversight of the daily operations of the care management and social work programs at the assigned site(s).
• Approves and monitors staff schedules, paid time off, and timecards to ensure continuity of services.
• Monitors proficiency of each site CM/SW staff and includes action plans to improve deficiencies, meet regulatory requirements, and drive efficiencies.
• Responsible for team building and conflict resolution.
• Facilitates performance improvement activities for the care management program; assists to establish measures, performance targets, and benchmarks to drive achievement of established goals and achieve efficiencies of processes.
• Collects, analyzes, and reports data to measure and identify the effectiveness of care processes and variations from standards and expectations.
• Analyzes data and information to discern root causes of performance gaps using key data and reports.
• Identifies and discusses overall and individual physician trends related to care management activities with Director of Inpatient Care Management, Physician Advisor and site Medical Staff Leadership as appropriate with a documented improvement plan to include strategies and educational needs identified.
• Regularly reviews individual site successes and improvement opportunities with the Director of Inpatient Care Management, site leadership and other key stakeholders.
• Serves as an internal consultant on Care Management opportunities.
• Acts as an expert resource for care management program, including evaluation of challenging cases, intervening with physicians when necessary, meeting with patients and families, dissemination and interpretation of key regulatory requirements and changes, etc.
• Consults, communicates, and organizes key ongoing education, serves as a supportive member of site UM Committees, and/or other site meetings as appropriate.
• Participates in multidisciplinary cross functional efforts to ensure high quality, cost effective coordinated care.
• Works collaboratively with Physician Advisor(s) on challenging cases, removing barriers to discharge.
• Accountable for site care management/social work budgets as assigned.
• Develops and recommends operational and capital budgets and controls expenditure within approved budget objectives.
• Ensures the care management/social work program operates within compliance of CMS, OSHA, Accrediting Organizations, and established care management practice standards and code of ethics.
• Collaborates with Compliance to ensure care management/social work program meets all state and federal guidelines.
• Responsible for orientation, and ongoing competency assessment of CM/SW staff in collaboration with the Director of Inpatient Care Management.
• Responsible for personal professional growth. Participates in professional organizations, maintains license and certification as required, maintains effective working relations with both internal and external customers.
• Maintains required competencies and assumes responsibility of personal development and maintenance of ongoing workshops, conferences, and/or in-services and maintaining records of participation.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

Requirements

Minimum Job Requirements

• Education: Bachelor's Degree in Nursing or Master’s Degree in Social Work or related field.
• Certification / Registration / License:
  • If BSN, Registered Nurse license issued by the state in which the team member practices is required.
  • If social worker, license/certification issued by the state in which the team member practices is preferred (or as required by the state in which the team member practices social work).
  • Accredited Case Manager (ACM) or SW (ACM) certification issued by the American Case Management Association (ACMA) needs to be obtained within 1 year, or RN or SW: Certified Case Manager (CCM) issued by the Commission for Case Manager Certification (CCMC) needs