SUPERVISOR, CARE MANAGEMENT

Supervisor, Care Management

OCEAN MEDICAL CENTER Brick, New Jersey

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• Requisition # 2025-160000
• ShiftDay
• StatusFull Time with Benefits
  
  

Overview

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

This role is specific to utilization management functions and performance improvement activities within the department. The Supervisor, Care Management is accountable for oversight of the department's designated team member caseloads and plans effectively in order to meet staffing needs, manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements.

This position has a specialized focused on utilization review. A background in utilization management and nursing is highly preferred.

Responsibilities

A day in the life of a Supervisor, Care Management at Hackensack Meridian Health includes:

• Facilitates collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
• Supervises the staff with all care management processes, including LOS, throughput, patient flow and denials and appeals follow up.
• Applies process improvement methodologies in evaluating team member's documentation.
• Ensures that multidisciplinary rounds and team huddles are occurring.
• Provides direction to the multidisciplinary team as needed in difficult cases.
• Obtains, interprets and presents metrics related to care management.
• Attends key meetings and presents the information about existing case management processes.
• Develops the performance improvement plan of the care manager, documents performance and provides performance feedback, evaluates the work of the team member and provides reward and recognition for proper and efficient performance.
• Determines areas of opportunities and suggest process improvement.
• Follows HR policies for performance and disciplinary action. Responsible for disciplinary action and performance improvement plans when appropriate.
• Participates in departmental preparation for regulatory visits and compliance audits.
• Coordinates/facilitates patient care progression throughout the continuum by working collaboratively with the multidisciplinary team.
• Collaborates with ancillary departments to ensure accuracy of patient demographic and insurance information.
• Assists in the collection and reporting of indicators tracking efficiency of case management processes.
• Uses data to drive decisions and plan/implement performance improvement strategies related to assigned staff, including fiscal, clinical, and patient satisfaction data.
• Collaborates with Physician Advisors,/Hospitalist in needs related to Case Management and difficult cases.
• Maintains annual competencies and ensures training and continuing education of the team in applicable platforms. (Epic, Xsolis Cortex, BI, Google Suites)
• Assumes responsibility for supervision of other case management care coordination managers in the absence of a Supervisor.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.
  
  

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree, Nursing or Master's Degree in Social Work
• At least 3 years full time experience in an acute care setting
• Familiar with hospital resources, community resources, and/or resource/utilization management
• Care coordination, case management or discharge planning experience
• Effective decision-making /problem-solving skills, demonstration of creativity in problem-solving, and influential leadership skills
• Excellent verbal, written and presentation skills. Moderate to expert computer skills
• Excellent written and verbal communication skills
• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.
  
  

Licenses And Certifications Required

• NJ State Professional Registered Nurse License or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker
• Case Management certification by a nationally recognized organization within 1 year.
  
  

Licenses And Certifications Preferred

• Basic Life Support (BLS) certification.
  
  

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.

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Awards We’ve Received

2023

US News & World Report 2023

• HUMC - #1 Hospital in NJ & #5 in NY Metro Area
  
  

2023

US News & World Report 2023

• Joseph M. Sanzari Children’s Hospital - #1 Children’s Hospital in NJ
  
  

2023

US News & World Report 2023

• JSUMC - #6 Hospital in NJ
  
  

2022

2023

2023 & 2022 Magnet Designations

for 9 HMH Institutions

2022

Newsweek 2022 Best Hospitals USA

• HUMC - #57
  
  

2022

Newsweek 2022 America’s Best Addiction Treatment Centers

Blake Recovery Center at Carrier Clinic - #2

2023

Diversity Inc. 2023

Top Hospital and Health Systems

2022

Becker’s Hospital Review 2022

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WE KEEP GETTING BETTER

At Hackensack Meridian Health, we help our patients live better, healthier lives – and we help one another succeed. Here, competitive benefits are just the beginning. It’s also about how our team members support one another and how we show up for our community. Together, we’re ready to transform health care and advance our mission to serve as a leader of positive change.

Join us and let’s keep getting better together.

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