Manager Case Management RN

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Overview

MLK Community Healthcare provides a pay range based on skills and experience. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range : $125,180.00 / yr - $194,028.00 / yr.

If you are interested apply online and send your resume to Norozco@mlkch.org.

Position Summary

The Manager of Care Management will supervise and direct all levels of the Care Management team that includes RN Care Managers, Lead Care Management RN, Care Management Coordinators, Discharge Planners (DCP), Care Coordinators, and the Care Management Educator. This position may also supervise and cover supervision for other management in the CM Department. Services include assessment of patients for level of care, appropriateness for admission or observation, HLOC transfers, discharge assistance, and follow-up care as appropriate in collaboration with the ED care management team and Social Work Department. Care Management policies for this work are initiated, reviewed and implemented by the Manager as needed.

This Manager role will provide clinical supervision for scheduling, Kronos payroll, coaching / corrective action, and educational needs to ensure that care management policies and processes are carried out for the organization. The role will oversee the electronic referral system (Ensocare), documentation of care management through Cerner Healthcare EMR including collaboration with Clinical informatics (CIT), and development or improvement of care management documentation and handoff processes.

This position is responsible for overseeing post-acute providers, facilities and other community service providers as directed by the Director of Care Management. The Manager will assist with overseeing compliance policies and plans related to vendor networks to maintain working relationships between MLK and network providers. The Manager will identify opportunities to improve post-discharge services to reduce readmissions and improve community health in collaboration.

Works collaboratively with colleagues within the Population Health Program to support the entire Care Management Department. This role is expected to share in Care Management Leadership calls on a rotation basis as assigned by the Director for Care Management.

Essential Duties and Responsibilities

• Manages and supervises the IP Care Management RNs, Care Management Coordinators, Care Coordinators, Discharge Planners, and the Care Management Educator to support MLKCH Care Management services, including assessments, transfers to higher levels of care, inpatient discharge needs, and follow-up care by the DCP team according to Care Management Department policies and procedures.
• Collaborates with the Director of Social Work Services and Street Medicine to support the Care Management Program and Population Health Program at MLKCH.
• Oversees MLKCH compliance policies related to discharge planning and use of letters of agreement (LOA) with current / planned scope of post-acute partner networks including : MLK-LA Skilled Nursing Facilities (SNF); MLK-LA Home Health Professional Network (planning); MLK-LA Palliative and Hospice Network (planning).
• Oversees assessment of the need for additional provider networks in collaboration with management given new clinical / social needs and ongoing revisions to the Population Health Strategy.
• Identifies and vets potential post-acute service providers.
• Participates in hospital committees and unit-specific multidisciplinary conferences as well as staff meetings for the Care Management Department.
• Models leadership and promotes professionalism to assist staff in developing priority setting, teamwork, and flexibility in support of the Care Management team and community health activities.
• Holds clinical and non-clinical staff accountable for performing initial assessments, documenting a discharge plan, and collaborating with the work team to ensure a safe patient discharge under the scope and standards for ACMA & CMSA standards.
• Responsible for the hiring process and identifying staffing needs with appropriate skill mix.
• Manages payroll in Kronos; monitors overtime and attendance related to HR policy for time and attendance.
• Oversee a mix of clinical, operational and business projects including reducing readmissions and improving transportation and other clinical services.
• Work closely with ED Care Coordinators, ED Care Managers, Social Work, Transitional Care Navigator staff, and clinical staff to ensure seamless patient transitions to post-acute network providers.
• Establish and monitor management metrics : quality, outcomes, productivity, financial performance, case volume / mix, and provide scheduled reporting to the Director of Care Management.
• Design and coordinate formal and informal training for staff and providers regarding post-acute services care management, and oversee the clinical education program executed by the Care Management Educator.
• Continuously evaluate and address internal and external customer concerns / grievances.
• Collaborate with Los Angeles County Department of Health Services Outpatient Clinic staff and MLKCH outpatient clinics to ensure smooth transitions to community healthcare for MLKCH patients.
• Coordinate with other Care Management Leadership to ensure adequate staffing and scheduling to support the transitional care team.

Position Requirements

Seniority level

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