Manager, Care Management

Manager, Care Management

US-OR-PORTLAND

Job ID : 24-41381

Type : Regular Full-Time

Emanuel Medical Ctr campus

Overview

Relocation assistance available for RNs new to Legacy Health!

You embody the legacy mission of making life better for others. Through your expertise and compassion, you guide the care management team, ensuring the highest level of care for acute and chronic patients. Your vision creates an ideal atmosphere in which care team members thrive and patients receive the respect and attention they deserve.

Legacy Emanuel Medical Center in North Portland plays a vital role as a local and regional leader in serious clinical illness or injury. With around-the-clock expertise for critical health issues, including experts in trauma, heart care, burns, significant wounds, stroke, brain surgery and more, Legacy Emanuel is central to the health of our community and critical to the care of the Northwest.

Responsibilities

Manages the day-to-day Care Management operations for a designated hospital and surrounding clinics associated with that hospital’s geographic service area. Provides clinical and administrative leadership for the Care Management team which is charged with the provision of comprehensive, patient-centered, quality health care for patient populations with acute and chronic health conditions across the continuum. Manages and directs Care Management staff, establishing appropriate staffing levels and work assignments, assuring financial / budgetary stewardship and efficient use of resources, and providing appropriate staff development, coaching, and mentoring. Integrates with other site leadership to foster seamless transitions of care and optimal patient outcomes across the continuum. Represents Legacy in the community and works effectively with community-based programs, services and providers.

Qualifications

Education :

Master of Social Work degree from an accredited School of Social Work required, or bachelor’s in nursing with a master’s in nursing or healthcare related field of study must be either in place or candidates must be scheduled to commence this program within 6 months of hire. Candidate must make meaningful progress toward completion of the master’s degree.

Exceptions to the BSN requirement may be made for candidates with an associate degree attending a direct entry master’s program in nursing and are within one year of graduation; it is understood that they are at the BSN level once they are within a year of graduation, thereby meeting the BSN requirement.

Experience :

Minimum of four years of clinical medical experience required. One of the 4 years of clinical experience must be related to Case Management including : previous payor experience, utilization management, ambulatory care coordination, and / or community / transitions planning experience. Progressive leadership experience required with demonstrated results. Basic knowledge of clinical operations, Lean principles / work flow planning, staffing and scheduling, budget and resource management, data analysis and continuous quality improvement.

Knowledge / Skills :

• Demonstrated knowledge of six core components of case management :
• Psychosocial aspects
• Healthcare reimbursement
• Rehabilitation
• Healthcare management and delivery
• Principles of practice i.e. CMS guidelines, medical necessity criteria
• Case Management concepts
• Excellent organization, oral and written communication skills for effective interaction with staff and other stakeholders.
• Demonstrated coaching and staff development skills.
• Proficient statistical analytic skills.
• Working knowledge of :

Transition planning across the continuum.

LEADING AT LEGACY :

Demonstrates the ability to act consistently with Legacy’s Values in Action, exemplifies our core organizational values, and exhibits the leadership competencies outlined in Leading at Legacy.

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