Supv Inpatient Care Mgmt--Sharp Coronado Hospital - FT - Days

Hourly Pay Range: $72.290 – $93.280 – $104.470. The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. Actual pay rate and pay grade will depend on years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, and employer business practices.

Responsibilities

• Supervisory responsibility for the acute care hospital-based Transition Planning team.
• Supervises, provides oversight, and coordinates day-to-day operations of Integrated Care Management for Sharp Coronado Hospital.
• Coordinates daily productivity and longitudinal patient care with a focus on seamless, coordinated transition planning; ensures quality outcomes and optimal utilization of available resources.
• Supervises staff to ensure all regulatory requirements are met (IMM, Non-Coverage, Patient Choice, etc.).
• Participates as a member of the ICM management team and maintains an open mind with a passion for departmental growth and program enhancement.
• Provides consultation and direction for Case Manager Transition Planners, LVN Care Managers, and other team members regarding cases, policy issues, or interdisciplinary matters.
• Works productively with various Sharp entities and interdisciplinary team members to foster integration of policy, procedures, work regulations, and staffing.
• Partners with other members of the ICM Department at site and system levels to meet key performance indicators and metrics.
• Exhibits courtesy, cooperation, and respect toward patients, visitors, physicians, and fellow workers to create a positive public image and a harmonic work environment.
• Demonstrates team behaviors with a commitment to quality and develops/fosters peer relationships that promote efficient integrated departmental operations.
• Rotates weekend on-call duties with other members of the site ICM Leadership team.
• Actively contributes to the leadership team by bringing creative thinking and innovation to enhance overall patient care and operational efficiencies.
• Participates in a leadership position on an internal quality improvement committee or task force and contributes positively.
• Establishes effective working relationships between internal and external customers, focusing on community post-acute care providers and payers.
• Provides staff with information and knowledge to assist in job performance and increase commitment to the organization.
• Delivers answers and solutions within agreed-upon timeframes.
• Monitors productivity continuously to meet and exceed established standards.
• Partners with ICM leadership to manage length of stay (LOS).
• Assists with management of complex or difficult cases escalated by members of the ICM team.
• Coordinates day-to-day staffing activities, including scheduling, caseload assignments, and census flexing.
• Participates in hiring, orienting, and supervising clinical staff.
• Evaluates staff performance/competency at introductory period and annual review dates; completes 90-day evaluations and orientation checklists by due date.
• Provides coaching and utilizes SHC performance management guidelines to address staff performance issues.
• Proactively identifies and addresses staff performance issues in a timely/appropriate manner.
• Provides case consultation, professional guidance regarding delivery and services, and consults regarding scheduling and work organization issues.
• Reviews clinical documentation in collaboration with ICM leadership and key stakeholders to ensure compliance with regulatory guidelines.
• Ensures staff compliance with documentation timeframes and completion of required annual competencies within outlined timeframes.
• Supervises flexing, on-call skill mix, use of overtime, per diems, and registry.
• Serves as a positive role model to promote employee empowerment, effective leadership, communication, and proactive problem-solving.
• Demonstrates strong clinical skills with patients and families and provides clinical supervision and instruction to CM I and CM II’s.
• Takes an active role in coordinating case conferences around complex patient issues with the Interdisciplinary Care Team (IDT).
• Facilitates and leads team meetings.
• Actively participates in all management team meetings by demonstrating creative and effective problem-solving/critical thinking skills.
• Actively participates in intradepartmental task forces.
• Partners with colleagues and system ICM Clinical Educators to identify educational gaps and needs.
• Responsible for completion and submission of required reports pertaining to TP CM activities and interventions.
• Establishes mutually derived annual goals and meets them.
• Maintains individual in-service/performance records and pursues ongoing professional growth through attendance at educational forums.
• Identifies and/or participates in initiatives to improve work processes.
• Audits cases routinely to ensure compliance and drive process excellence.
• Actively practices safe work habits and contributes to ensuring a safe work environment.
• Utilizes appropriate processes or tools to document identified problems and promptly initiate problem-solving plans.
• Promotes quality outcomes in complex, new/unusual, or other high-risk clinical situations, collaborating or seeking additional resources as needed.
• Completes quality monitoring tools as specified and participates in the evaluation of such data.
• Keeps staff abreast of new developments in the field, discipline, or functional area.
• Ensures staff is knowledgeable and compliant with regulatory and accreditation standards.
• Makes sound decisions and demonstrates ability to handle situations not covered by written or verbal instructions.
• Notifies appropriate resources when issues or problems arise.

Requirements

• Bachelor's Degree in a healthcare-related field or Bachelor's Degree in Nursing.
• 5 years of acute care or clinical experience in area of specialty.
• 2 years of clinical experience in Utilization Review, Discharge Planning, and/or Case Management in a hospital and/or Managed Care setting.
• California Registered Nurse (RN) – CA Board of Registered Nursing – REQUIRED.
• Certified Case Manager (CCM) – Commission for Case Manager Certification or Accredited Case Manager (ACM) – American Case Management Association (ACMA) or Clinical Nurse Leader (CNL) – Commission on Nurse Certification – Required within 1 year of hire. Certification to be tracked and maintained by the department.

Preferred Qualifications

• Associate's Degree in Nursing.
• 2 years of acute care leadership experience.
• Accredited Case Manager (ACM) – American Case Management Association (ACMA) – PREFERRED.
• Certified Case Manager (CCM) – Commission for Case Manager Certification – PREFERRED.

Skills

• Proficiency with information systems and computer programs such as Word, Excel, etc.
• Advanced clinical skills in area of expertise.
• Proficient knowledge and understanding of utilization management, healthcare finances, alternative options, goals and outcomes, regulatory/compliance, and professional implications.
• Skilled in conflict management and resolution.
• Very good to excellent communication and critical thinking skills.
• Self-directed and demonstrates ability to prioritize.
• Demonstrated ability to remain flexible in a rapid change environment and current healthcare dynamic climate.
• Ability to work collaboratively with interdisciplinary teams.
• Knowledge of team-building skills and principles of self-managed work teams.

Schedule

• Shift Start Time: Variable
• Shift End Time: Variable
• AWS Hours Requirement: 8/40 – 8 Hour Shift
• Weekend Requirements: As Needed
• On-Call Required: No