Case Management Supervisor, Case Management, Full Time, Days

Department: Jackson Memorial Hospital - JM Case Management Acute

Address: 1611 NW 12 Ave., Miami, FL 33136

Shift details: Full Time, Days 8:00 am - 4:30 pm

Why Jackson

Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals.

Summary

The Case Management Supervisor is accountable for ensuring the delivery of high-quality, patient-centered care while overseeing all aspects of case management operations. In addition to managing patient care through effective coordination with multidisciplinary teams, the supervisor will lead and support case management assistants, ensuring compliance with CMS standards, optimizing team performance, and enhancing the overall patient experience. This role blends direct patient care oversight with team leadership and administrative responsibilities.

Responsibilities

• Monitor patient cases using standardized criteria and recognized standards of care. Assess for appropriateness of admission, continued stay, and timely discharge while preventing unnecessary delays or avoidable hospital days.
• Actively participate as a member of the interdisciplinary patient care team by collaborating with physicians, nurses, social workers, and other hospital departments (e.g., Patient Access, HIM, International Services) to resolve barriers to discharge.
• Ensure proper documentation that accurately reflects the standard of care, severity of illness, and intensity of service.
• Regularly round on patient units to identify issues affecting discharge and coordinate necessary interventions.
• Provide guidance, supervision, and support to case management assistants, including monitoring daily activities, approving time-off requests, and ensuring adequate coverage.
• Oversee the day-to-day operations of the case management team, ensuring effective service delivery and timely interventions in collaboration with unit case managers and social workers.
• Lead daily multidisciplinary rounds and participate in monthly case staffing meetings, conducting regular 1:1 performance sessions with team members to address challenges and enhance skills.
• Ensure adherence to Centers for Medicare & Medicaid Services (CMS) regulatory standards by supervising the timely and accurate completion of CMS forms and related documentation.
• Maintain comprehensive program records in accordance with organizational policies, contractual requirements, and federal, state, and accreditation regulations.
• Participate in internal audits to verify compliance and identify areas for improvement.
• Collaborate with the Associate Director of Clinical Resource Management (or designee) to analyze performance data.
• Monitor key performance indicators (KPIs) such as the timely submission of Medicare Outpatient Observation Notice (MOON), Hospital Outpatient Observation Notice (HOON), Important Message from Medicare Notice (IMM), Detailed Notice of Discharge (DND), and the Medicare Change of Status Notice.
• Utilize data insights to drive process improvements, ensuring an equitable distribution of CMS census among the team and enhancing overall patient outcomes.
• Provide training, onboarding, and remediation for new hires using standardized checklists. Offer coaching and mentoring to improve team performance and address challenging cases.
• Support initiatives aimed at improving patient communication, reducing wait times, and enhancing patient education, ultimately driving higher patient satisfaction survey scores.
• Maintain positive relationships with payors, clinical staff, and internal departments to facilitate effective communication, ensure compliance, and optimize patient care transitions, including the repatriation process for international patients when necessary.
• Performs all other related job duties as assigned.
  
  

Experience

Generally requires 5 to 7 years of related experience. Management experience is required.

Preferred Experience

At least 3 years' experience as Case Management Assistant, strongly preferred.

Education

Bachelor's degree in related field is preferred.

Credentials

Valid license or certification is required as needed, based on the job or specialty.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.