HCA, Hospital Corporation of America Manager, Case Management in Fort Worth, Texas
Under the supervision of the Director of Case Management, theManager, Case Management performs case management functions; performs a leadership role by assisting the Director with the day-to-day operations of the department. Acts as a resource and collaborates with the interdisciplinary team for the purpose of optimizing patient care and resource usage. All functions will be performed in accordance with the standards, practice acts, and licensure in a manner consistent with the mission and goals of the organization.
Direct Reports: RN Case Managers, LMSWs and LBSWs
Supports the HCA Code of Conduct. Demonstrates behaviors consistent with organization mission and goals.
Ensures patient/personal safety by maintaining a safe and therapeutic environment and adhering to Safety Program and Infection Control Programs.
Supports hospital and departmental Performance Improvement Goals.
Demonstrates and promotes Plaza Medical Center of Fort Worth’s Mission and Values philosophies
o You First
- Contributes to the organization’s goals of success:
o Clinical Quality
o Unparalleled Service
o Consistent Earnings Performance
o Engaged Employees
Provides daily leadership for case/resource management to achieve maximum deployment and integration. Measures such functions throughout the organization using the facility improvement process.
Utilizes data analysis to drive departmental and facility improvement projects.
Works cooperatively with physicians to achieve the utilization of the case management plan.
Collaborates with clinicians and support staff in designing and implementing processes to comply with regulatory requirements and assists with TJC survey readiness/preparation.
Promotes personal growth and professionalism in the work environment.
Functions effectively as a multi-disciplinary team member.
Acts as a liaison to insurance companies and post-hospital care facilities.
Participates in performance improvement activities of the department and organization.
Provides leadership for all areas of the RN Case Manager and Social Worker roles.
Responsible for the tracking of choice letters and Medicare and discharge appeal letters.
Assists with tracking trends for barriers to patient access to care; makes recommendations in the development of action plans to improve process and systems.
Demonstrates knowledge of regulatory requirements, HIPPA, HCA Ethics and Compliance policies, and quality initiatives; monitors self-compliance and implements process changes to ensure compliance as it relates to the Case Management Department roles.
Facilitates patient throughput with an ongoing focus on quality outcomes and an efficient transition between levels of care.
Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered.
Adheres to established policy and procedures and standards of care; escalates issues through the Chain of Command.
Actively provides and monitors training of all new departmental staff.
Assists the Director in the development and check-off of on-going staff competencies and ensures that all staff is in compliance with annual safety, HIPPA and Code of Conduct requirements; provides input on staff performance evaluations.
Graduate of an accredited professional school of nursing required; BSN or MSN preferred
RN with current licensure or RN with temporary permit to practice from the Board of Nurse Examiners for the State of Texas.
Certification in Case Management (CCM) or be able to obtain CCM within one-year of employment preferred.
Minimum of three (3) years of experience as an RN Case Manager with responsibility for discharge planning and utilization review.
Two years (2) of recent experience in a similar leadership position.
Competent in data analysis; excellent verbal and written communication skills; knowledge of TJC and regulatory standards.
Title: Manager, Case Management
Location: Texas-Fort Worth-Plaza Medical Center of Fort Worth - Fort Worth
Requisition ID: 00073-81602