Care Management, Manager

Company Description

About Our client:

Our client is serving as its tertiary hub of advanced care in the Hudson Valley. Their primary mission is to provide exceptional acute and preventive medical care to all people who live in, work in or visit Westchester County and its surrounding areas.

Job Description

Responsibilities:

• Assures the delivery of quality services in accordance with established hospital, departmental and regulatory/accreditation agency standards.
• Is responsible and accountable for the overall operations of their assigned department, in conjunction with UM manager and the department Director.
• Overall operations of the department including quality assurance and PI plan, development of department goals and objectives that are consistent with the hospital mission, the management of personnel, preparing/monitoring of and accountability for the department budgets.
• Assures employee compliance with hospital, nursing department and Human Resources policies and procedures.
• Assures that employee orientation, skill competency and continuing education requirements, are satisfied, as per regulatory requirements –government, state, hospital and department policies/regulations.
• Participates in the hospital Performance Improvement Program, as defined by the organization, and sets up department PI plan based on regulatory requirement, as needed.
• Follows up on outliers and areas identified as needed improvement
• Is responsible for participation on committees, task forces and projects as appropriate and required.
• Assures the provision of a safe employee/patient environment and follows up on all staff incidents and safety issues.

Qualifications

Qualifications:

• 5 years managerial experience within the acute hospital.
• Previous experience as a case manager required.
• Knowledge of healthcare financial, regulatory and payer issue setting required.
• Knowledge of state, local and federal programs required.
• Experience with Millimen/Interqual criteria required.
• Computer skills required.
• Must be physically able to move quickly throughout the work environment and the hospital.
• Must be able to utilize a computer with Microsoft office experience.
• Must be able to read and write, using analytical skills to interpret and data and make necessary conclusions and recommendations.
• Demonstrates ability to follow written and oral instructions required for the position.
• Demonstrates ability to analyze multidimensional problems and tasks, into manageable components and sort out actions/plans in order of priorities, to solve the problem/issues.
• Must be able to communicate with patients and others in a caring and sensitive and warm manner and help the staff to visually assess a patient’s affect and body language.

Additional Information