Registered Nurse Manager, Hospital Care Management, Full-Time, Day

About the Role

Responsible for providing overall management of the daily operations for Prisma Health Hospital Care Management. Accountable for the development of the CM/SW staffing plan and associated budgets. Collaborates with the Director, Physicians, administrative leadership, and community providers to identify and act upon opportunities for process improvement across the system and within the scope of care management. Develops the Hospital Care Management program to enhance the distinction in staff roles related to progression of care, physician partnership, transitions in care, patient advocacy, and fiscal responsibility.

Responsibilities

• Demonstrates a broad knowledge of clinical practice using innovative critical thinking skills.
• Demonstrates expert knowledge of Hospital Care Management functions, including but not limited to working knowledge of medical necessity criteria, patient management, care management documentation systems, and all other systems used in daily care management activities.
• Works directly with the Director to foster development and coordination of staff education, team-building initiatives, and care management strategies.
• Works in clinical areas with staff to mentor, advise, and support effective change in response to identified barriers.
• Leads initiatives to identify potential concerns that may cause dissatisfiers for patients, customers, and staff, and develops programs to enhance satisfaction.
• Acts in a managerial role related to Human Resources activities, including staff management, policy and procedure development, and performance evaluations of staff.
• Responsible for interviewing, hiring, and performance coaching of staff.
• Manages financial activities for the department, including applicable budget processes.
• Manages data collection initiatives to gather quantifiable data illustrating the department's impact on clinical care management.
• Plans statistical audits and performs root cause analyses to ensure data integrity.
• Manages and reports all regulatory compliance efforts with applicable regulatory agencies.
• Develops and implements policies and procedures that guide and support the provision of services.
• Performs other duties as assigned.

Supervisory/Management Responsibilities

Job includes direct and/or indirect supervision of employees, with authority over final budget decisions, hiring, termination, disciplinary actions, and performance appraisals. Considered a member of the management staff with direct reports.

Requirements

• Bachelor's degree in Nursing.
• Three (3) years of acute care case management experience.
• Two (2) years of RN experience at the bedside in an acute care setting preferred.
• One (1) year of lead, coordinator, or supervisor experience preferred.

Qualifications

• Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.
• Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.

Skills

• Knowledge of medical necessity criteria (Interqual, MCG).

Schedule

Day shift (United States of America).

Location

Blount Memorial Hospital, Inc. – BMH Hospital Care Management.