Supv Care Management
Core
Oversees discharge and transition planning for hospital admissions, audits care management staff activities, and leads clinical-financial meetings to manage high-cost and complex social barrier cases.
Role type
Senior Care Management Supervisor (Nursing/Social Work)
Builds
Discharge planning workflows and care transition protocols for acute to non-acute settings
Domain
Healthcare / Hospital Administration / Care Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Discharge planning, Clinical auditing, Clinical-financial analysis, Regulatory compliance, Staff supervision, Complex case intervention
Preferred skills
Care Management Certification
Technologies
None stated
Responsibilities
Oversees discharge/transition planning executed by Care Management staff and audits activities for accuracy; Conducts weekly Clinical-Financial meetings to monitor patients with high dollar, high LOS, and social barriers; Provides guidance on complex high acuity patient assessments and interventions; Participates in orientation meetings to evaluate new employee progress; Performs monthly compliance audits; Educates hospital staff and physicians on payer regulations and managed care principles.
Seniority
Senior, hands-on IC with supervisory duties