Manager, Case Management
At the University of Maryland Medical System (UMMS), we are creating a better state of care, for our communities and our team members at more than 150 locations across Maryland.
UMMS believes all team members are caregivers—and we support our caregivers so they can care for our patients. When you join UMMS, you become part of a highly reliable community of more than 27,000, where your experience is respected, your expertise is recognized, and your passion and curiosity are nurtured. A generous benefits package supports your physical, mental, and financial health through a paid time off plan, comprehensive health coverage, dependent care and tuition reimbursement, retirement plan, wellbeing services and more.
UMMS embraces a just culture where all team members are treated fairly and are empowered to communicate their goals and pursue their full career potential. We are guided by our shared values—compassion, discovery, excellence, diversity and integrity—and we are looking for talented individuals who will embrace those values and help us achieve our mission and vision.
Manager, Case Management
Job ID: REF37961Z
Area of Interest: Nursing
Location: Baltimore,MD US
Hours of Work: M-F 8a-430p
Job Facility: University Of Maryland Medical Center
Employment Type: Full Time
Shift: Rotating
Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won’t find a more vibrant place to work!
General Summary
Assumes 24 hour accountability for managing the functions of Care Coordination and Discharge Planning. Along with the Manager of Utilization Management, serves as the central resource to the Director of Care Management to develop financial reimbursement strategies which are efficient, effective, timely and patient-centered. Responsible for meeting accountabilities of the Care Management Dashboard. Collaborates with all disciplines, departments, payers, system partners, vendors, and community agencies to optimize clinical outcomes within best practice, ethical, legal, and regulatory parameters.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by staff assigned to this classification. They are not to be construed as an exhaustive list of all duties.
- Direct oversight of the Care Management Lead (s) and Case Management and/or Social Work staff.
- Completes annual and interim performance reviews for all staff and contributes to performance reviews of other professionals and support staff as requested. Develops a growth plan for each employee.
- Manages hiring and performance management of staff.
- Keeps key statistics and participates in the maintenance of the Care Management Dashboard, using data to better understand strengths and weaknesses of the hospital and department, and to determine needs, decisions, and strategies.
- Manages, and constantly evaluates staffing levels, assignments, skills, learning needs, and deployment of staff.
- Manages structures and processes to facilitate participation by physicians, rehabilitation, pastoral care, social work, and other health professionals in multidisciplinary care planning, care delivery, and discharge planning.
- Participates and fosters performance improvement within the department and organizationally.
- Manages the operational budget.
- Partners with physicians and the Physician Advisor (s) for effective relationships with physicians, services, specialties, etc.
- Facilitates investigation of patient care issues/complaints.
Education and Experience
- Bachelor’s Degree in nursing or other related health care field required; Master’s Degree preferred or an equivalent combination of education and experience in business, nursing or a related allied health field.
- 5 years experience in Care Coordination (acute/post-acute/ambulatory) with demonstrated proficiency of all related skills and knowledge base, including electronic programs, regulatory requirements, payor requirements, related risk management issues, discharge information.
- Previous experience in progressive leadership or successful project implementation.
Knowledge, Skills and Abilities
- Knowledge of managed care, discharge planning, utilization, case management and social work is required.
- Highly effective verbal and written skills are required.
- Strong communication skills, self confidence and experience dealing physicians required.
- Excellent analytical and team building skills, as well as the ability to prioritize and work independently is required.
- Must possess the ability to work collaboratively with other disciplines.
- Ability to work with Hospital/Care Coordination related software programs required.
- Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient’s requirements relative to his or her population-specific and age specific needs.
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range: $44.76-$67.19
Other Compensation (if applicable):