AdventHealthManager Care Management
Overland Park, KS

Manager Case Management, Advent Health South Overland Park

All the benefits and perks you need for you and your family:

  • Vision, Medical & Dental Benefits from Day One

  • Student Loan Repayment Program

  • Received Magnet® recognition from the American Nurses Credentialing Center in January 2019

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule:

  • Full-Time

Shift :

  • Exempt

Location:

South Overland Park 7820 W 165TH ST, Overland Park, 66223

The community you’ll be caring for:

When you need care, you don’t want to have to travel far. Our dedicated team at AdventHealth South Overland Park provides a full suite of medical and emergency services to communities in southern Johnson County. Our team of experts offer 24/7 emergency room services, ICU care, labor and delivery, cardiology care, surgical services, physical, occupational and speech therapy, imaging and more. The state-of-the-art hospital is connected to a medical office building with a full suite of medical services including internal medicine, cardiology, orthopedics, OB/GYN, endocrinology and more. Join us and our commitment to helping patients feel whole for their whole life.

The role you’ll contribute:

The Care Management Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and supervision of team members.

The Care Management Manager is responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation of processes based upon data management, accountability for Length of Stay, Excess Days, Avoidable Days, Readmission Prevention, and Discharge Planning. In addition, the Care Management Manager is responsible for department engagement, customer experience, compliance of regulatory standards, and employee evaluations. The Care Management Manager supports professional and collaborative relationships with the Interdisciplinary Team to sustain process improvement and attain hospital metrics

The value you’ll bring to the team:

· Supports the daily operations of the Care Management department (both Inpatient and Emergency Department settings)

Implements Corporate Care Management strategies

Implements strategies with a focus on customer experience

Ensures documentation compliance of the Care Management department (Discharge Planning Evaluation, IMM, MOON, Patient Choice, etc.)

Identifies and utilizes resources to support information sharing amongst staff

Actively participates in daily Multidisciplinary Rounds ensuring staff participation on their assigned units to discuss transition of the patient to the post­ acute setting and barriers to the plan

Assures staff documentation is completed per guidelines as evidenced by appropriate monitoring techniques, coaches staff as needed

Assures patients are routinely assessed for post-hospital needs and documentation occurs within 1 calendar day of patient admission

Advocates and escalates pace of care delays

Assures discharge plans are developed in collaboration with patient, family caregivers, care team and payor

Assures effective discharge planning to meet patient needs, meet regulatory requirements and achieve organization objectives related to readmission reduction

Supports implementation of processes as directed by system for identification of at-risk populations and acquires necessary resources/services to improve patients' chances of successful self ­management

Coordinates and leads family meetings and patient/family and care team meetings as needed

Strives to meet all key performance indicator (KPI) targets

Assesses, develops, implements, monitors processes that impact patient outcomes

Seeks opportunities for improvement in quality of care/services

Reports pertinent quality/risk issues to appropriate individuals, departments and/or committees in a timely manner

Participates on performance improvement teams as appropriate

Monitors and documents activities ongoing to substantiate the effectiveness of care management activities to achieve compliance with external agencies

Collaborates with outside agencies to guide the hand­over of patients to the post-­acute setting

Escalates operational and/or financial concerns to the Physician Advisor(s) as appropriate

Participates, as needed, in hospital/medical staff meetings to review patients meeting criteria related to high dollar/extended length of stay and/or difficult placement maintains meeting minutes as appropriate

Assists in the development and oversees the implementation of Care Management policies, procedures, and standards

Plans, organizes and delegates activities as required for safe, efficient and effective operations of the unit/area including active participation with other hospital and leadership staff to accomplish this purpose

Encourages team member engagement

Holds regular staff meetings and encourages staff to share information and participate in decision making

Maintains excellent professional relationships with facility and divisional leadership

Communicates and collaborates across the Care Management team in the areas of data and information management, performance improvement, care coordination, care transition management, medication management, and social services

Monitors and meets productivity standards and staffing needs

Fosters a work environment favorable to retaining staff

Responsible for personnel functions including staffing, performance reviews and corrective action

Promotes professional growth and development of employees

Maintains a predictable schedule, including time on and off shifts such as weekends and holidays

Maintains collegial relationships with staff, physicians, and other departments

Maintains open communication with staff

Hires and retains individuals with appropriate skills and works to develop staff to their highest potential

Assures personnel policies are understood and adhered to

Consults with Care Management Facility Director and Human Resources for performance issues as appropriate

Fosters professionalism, independence and critical thinking

Demonstrates a positive problem-solving attitude to staff, physicians and peers

Supports financial responsibility of Care Management and viability of department resources

Assists in development of an action plan to address variances (positive and negative)

Supports flexible scheduling to meet the needs of staff members, and achieve productivity while remaining within budget

Formulates contingency plans for staffing during times of low census

Qualifications

The expertise and experiences you’ll need to succeed:

KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED:

Understanding of core Care Management principles and CMS Conditions of Participation

Knowledge of medical necessity for appropriate patient status and level of care

Understanding and ability to implement mitigation techniques to attain hospital metrics

Ability to analyze, evaluate, and monitor data

Ability to foster positive Interdisciplinary Team relations and encourage employee engagement

Strong professional verbal and electronic communication

Ability to work independently and/or part of a team

Strong technology skills

Understanding of Managed Care and Value Based Programs

Ability to negotiate optimal resolution of issues

KNOWLEDGE AND EXPERIENCE PREFERRED:

Front line experience with Joint Commission surveyors

Knowledge of change management principles, methodologies, and tools

EDUCATION AND EXPERIENCE REQUIRED:

Bachelors and 3 years experience

EDUCATION AND EXPERIENCE:

REQUIRED:

Registered Nurse: BSN or

Social Worker: BSW Masters in related field

3 years in direct Care Management/Utilization Management experience in an acute care setting

PREFERRED:

Registered Nurse: BSN Masters in related field

Social Worker: MSW LCSW

2 years of supervisory/lead/manager level of responsibility experience

LICENSURE, CERTIFICATION OR REGISTRATION:

Please be advised that all licenses and certifications listed are not required. If you only have one or some of those listed, you may still be eligible for this position.

REQUIRED:

State specific RN license if a nurse

PREFERRED:

RN-BC Certification in Care Management

LCSW

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Job Snapshot

  • Facility: AdventHealth Shawnee Mission

  • Job Schedule: Full-time

    Pay Range: $41.29 - $66.06

  • Location: Overland Park, KS

  • Job ID: 24004349

  • Job Family: Case Management

  • Shift: 1 - Day

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