Manager - Case Management - RN - Coordinated Care
Core
Direct supervisor for a team of Case Managers, coordinating management activities including employee selection, performance evaluations, scheduling, team outcomes management, and data collection and reporting. Oversees utilization reviews, case coordination, discharge planning, and patient placement.
Role type
Senior IC nursing manager (case management)
Builds
Case management team operations and patient care pathways
Domain
Healthcare / Managed Care / Utilization Review
Deliverable
client delivery
Required skills
Utilization review, discharge planning, case management, managed care reimbursement, ICD-10/CPT/DSM-IV coding, hiring and performance evaluation, data analysis and reporting, process improvement, resource utilization optimization
Preferred skills
None stated
Technologies
Computers and related software applications
Responsibilities
Determines staffing needs and participates in hiring activities; Coordinates departmental activities by scheduling work assignments and directing case managers; Evaluates employee performance through review of work assignments and outcomes; Provides daily supervision including coaching, training oversight, and data collection; Documents findings and tracks data to evaluate benchmarks; Serves as a resource for resolving complex patient placement issues; Provides backup coverage for case managers as needed
Seniority
Manager, hands-on leadership
