Senior Manager, Care Management SW

Senior Manager, Care Management SW AdventHealth Orlando Support Altamonte Springs, FL Job Details Full-time $79,402.93 - $147,697.47 a year 4 hours ago Benefits Paid parental leave Disability insurance Health insurance Dental insurance Paid time off Parental leave Vision insurance 403(b) Benefits from day one Life insurance Qualifications Patient flow optimization Social work Data analysis skills Master's degree CMS regulatory compliance Case management Utilization management Task prioritization Centers for Medicare and Medicaid Services (CMS) Employee engagement Cross-functional communication Full Job Description Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from

Day One:

Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100%

Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule:

Full time

Shift:

Day (United States of America)

Address:

701

E Altamonte Dr City:

Altamonte Springs State:

Florida Postal Code:

32701

Job Description:

Oversees the team's utilization of technology and adherence to standard work to develop and implement effective discharge plans in collaboration with patients, families, care teams, and payors. Participates in the hiring, onboarding, education, and retention of staff. Participates in hospital meetings and initiatives to improve the consumer experience and achieve organizational goals. Coordinates and leads family and care team meetings as needed. Monitors for process improvement opportunities and participates in performance improvement initiatives and reports quality/risk issues to appropriate parties. Collaborates and problem solves with outside agencies to facilitate patient transitions to post-acute settings. Manages daily operations of the care management department in the Inpatient, Observation, and Emergency Department settings. Collaborates with the management team to create and implement strategies to decrease length of stay, reduce avoidable readmissions, and enhance customer experience. Leverages dashboards and reports to monitor staff compliance with documentation and regulation requirements. Actively participates in daily multidisciplinary rounds and ensures staff participation to discuss patient transitions with cross functional teams and address barriers to discharge plans. Educates and coaches staff to ensure timely and accurate documentation of patient evaluations, discharge plans, and regulatory requirements. Leads the interdisciplinary team to address discharge barriers and escalates care delays to ensure timely transitions. Leads staff meetings and ensures staff participation in process improvements, assuring the frontline voice is heard. Performs other duties as assigned.

Schedule:

Monday - Friday 8am-4:30pm, no weekends, no holidays

Knowledge, Skills, and Abilities:

Understanding of core Care Management principles and CMS Conditions of Participation [Required] Knowledge of medical necessity for appropriate patient status and level of care [Required] Understanding and ability to implement mitigation techniques to attain hospital metrics [Required] Ability to analyze, evaluate, and monitor data [Required] Ability to foster positive Interdisciplinary Team relations and encourage employee engagement [Required] Strong professional verbal and electronic communication [Required] Ability to work independently and/or part of a team [Required] Strong technology skills Required; including working knowledge of Microsoft PowerPoint Preferred and intermediate knowledge of Microsoft Excel [Preferred] Understanding of Managed Care and Value Based Programs [Required] Ability to negotiate optimal resolution of issues [Required] Ability to communicate effectively with diverse populations [Required] Interpersonal skills that promote teamwork [Required] Critical thinking/problem solving skills [Required] Knowledge of and ability to utilize in-house and external resources [Required] Flexibility in prioritization [Required] Ability to multitask and function in a stressful, fast-paced environment [Required] Comprehensive understanding of current healthcare issues [Required] Outstanding clinical skills, leadership ability, organizational skills [Required] Ability to promote LOS and capacity management, discharge planning, social work, and utilization management in the hospital and the community [Required] Front line experience with surveyors [Preferred] Knowledge of change management principles, methodologies, and tools [Preferred]

Education:

Master's [Required]

Field of Study:

Master's in Social Work OR Bachelor's in Social Work & Master's in related field

Work Experience:

4+ direct Care Management Care Management experience [Required] 2+ social work experience [Required] Hospital Care Management Leadership experience [Preferred]

Additional Information:

Additional licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements.

Licenses and Certifications:

Accredited Case Manager (ACM) [Preferred] Certified Case Manager (CCM) [Preferred]

Physical Requirements:

(Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/msy4mja2

Pay Range:

$79,402.93 - $147,697.47 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.