Job Details

  • Title

    RN Manager – Case Management

  • Category

    Management & Supervision

  • Department

    Case Management Social Services

  • Schedule

    Full Time

  • Shift

    Day

  • Location

    Eisenhower Medical Center
    Rancho Mirage, CA

  • Job Objective: A brief overview of the position.
    • The position is responsible and accountable for the operations of the Case Management Department at Eisenhower Medical Center. The manager is responsible for ensuring that utilization of resources including medical services, length of stay and appropriate status class. The manager will help promote and facilitate patient through-put within the facility and through the continuum of care. The manager will develop and oversee compliance by implementing standardized processes and procedures. The goal of the department is to provide Coordinated Care Management services to all patients utilizing a cost effective process that meets the needs of the individual patient.
  • Reports to
    • Director of Case Management
  • Supervises
    • Case Managers, Discharge Planning Associate, Administrative support personnel.
  • Ages of Patients
    • None
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
      • Required: BSN or MSN or enrollment in an RN-BSN or RN-MSN program within 1 year of hire and completion within 5 years of hire if hired after July 1, 2012
    • Licensure/Certification
      • Required: CA RN License
    • Experience
      • Required: 5 years experience in Case Management field
      • Preferred: Previous managerial experience
      • Preferred: Case Management Certification
  • Essential Responsibilities
    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
    • Develops departmental goals and objectives. Establishes, implements and maintains policiesand procedures.
    • Coordinates and integrates services within own/other departments with the hospital’s primarydepartment services.
    • Recommends a sufficient number of qualified and competent staff or provide care and/ordepartment services.
    • Determines qualifications, competence levels of staff and standards of performance.
    • Updates initial orientation competency and annual competencies as needed; completes competency check-off of Case Management staff.
    • Maintains department performance improvement program; promotes and supports department and hospital wide performance improvement efforts.
    • Ensures compliance with regulatory requirements and with policies and procedures.
    • Maintains knowledge of and compliance with laws, regulations (federal and state) as well as JC accreditation standards and contractual agreements pertaining to Case Management.
    • Ensures efficiency, productivity and sufficient financial resources during budget process.
    • Demonstrates accountability for job responsibilities and actions taken by embracing the obligations stated in the job description by taking initiative and ownership of the job responsibility tasks.
    • Monitors quarterly quality and outcome data and in development and implementation of plans to meet department and organizational goals and service standards.
    • Demonstrates an improvement in the following Case Management Department key performance indicators:
      • Patient Satisfaction
      • Physician Satisfaction
      • Employee Satisfaction
      • Productivity Targets
      • Financial Performance
      • Appeals
      • Utilization Management
    • Collaborates and coordinates with the Quality Improvement Department, Decision Support and Medical Staff Services in the completion of focused studies, as requested, for Case Management related issues.
    • Develops and implements corrective action plans proactively when process and other issues are identified.
    • Provides ongoing training and education to keep Case Management staff abreast of changes including updates on new regulations, specific expectations and outcome requirements.
    • Maintains the Case Management Department in a state of constant readiness in regards to TJC and State survey review:
      • Completed baseline assessment
      • Develops action plans for areas with need for performance improvement.
      • Monitors and measures quality and current state of action plan implementation
    • Provides support to the Director for the Utilization Management Committee
    • Manages Case Management Department human resource activities in accordance with Hospital policies and procedures.
    • Develops a high performing team by:
      • Recruiting qualified and experienced staff
      • Educating staff on specific expectations and outcome requirements of the work they perform
      • Ensuring that the staff has the resources necessary to meet objectives and expectations
      • Providing outcomes analysis and process measure reports of department specific key performance indicators
    • Ensures that staff consistently provides high quality patient care and/or other support services that are valued by patients, physicians and each other.
    • Role models the organization’s values.
    • Performs other duties as assigned.
    • Participates in hospital activities and committees as appropriate.

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