Employment Type:

Full time

Shift:

Day Shift

Description:

The Lead Case Manager Position reports to the Manager of Nurse Care Management. The specific duties include: Recruiting, interviewing, hiring, and training staff. Establishing policies and procedures Planning and administering budgets Supervising staff and volunteers Collecting data and other information to evaluate program impact Overseeing performance improvement projects to realize process improvement achieving targeted outcomes Preparing reports for management, boards of directors, supporters and the public Representing the organization in public. Provides coordination and lateral integration between management and patient care activities that are consistent with the Magis Patient/Family Centered Model to achieve high standards of patient care and quality outcomes. The Case Manager Lead works with the multidisciplinary team including physicians, staff and payers to ensure patient's progress along the continuum of care in an efficient and cost-effective manner that ensures quality outcomes. Utilizes established guidelines to support appropriate level of
care throughout hospitalization. Acts as a patient advocate and communication link with other departments and community resources. Supports nursing staff in development of individualized, evidence-based, outcomes oriented, and safe practice.

Actively participates in clinical performance improvement activities.

Assists in the collection and reporting of financial indicators including

care readmission rates, denial and appeals. Use data to drive decisions

and plan/implement performance improvement strategies related to case

management for assigned patients, including fiscal, clinical and patient

satisfaction data. Collects, analyzes and addresses variances from the

plan of care/care path with physician and/or other members of the

healthcare team. Uses concurrent variance data to drive practice changes

and positively impact outcomes. Collects delay and other data for specific

performance and/or outcomes indicators as determined by Director of

Care Management. Documents key clinical path variances and outcomes

which relate to areas of direct responsibility (e.g., discharge planning).

Uses pathway data in collaboration with other disciplines to ensure

effective patient management concurrently. Indicates and leads the

development, implementation, evaluation and revision of clinical

pathways and other case management tools as a member of the clinical

resource/team. Assists in compilation of physician profile data and

regarding LOS, resource utilization, denied days, costs, case mix index,

patient satisfaction and quality indicators, (e.g., readmission rates,

unplanned return to OR, etc.)

Acts as preceptor/mentor to new hires. Assists in development of

orientation schedule and helps identify individual needs for learning.

Assists in performance to annual department staff review

Ensures safe care to patients adhering to policies, procedures, and

standards, within budgetary specifications, including time management,

supply management, productivity, and accuracy of practice.

Promotes individual professional growth and development by meeting

requirements for mandatory/continuing education, skills competency,

supports department-based goals which contribute to the success of the

organization; serves as preceptor, mentor, and resource to less

experienced staff.

Position Requirements:

Minimum Education:

Required: Bachelors Degree

Preferred: Masters Degree

Specify Degree(s): Nursing

Residency: N/A

Minimum Experience:

Required: 3-5 years of previous job-related experience

Preferred: 10 years of previous job-related experience

Details: Recent clinical experience in and inpatient and outpatient setting is preferred. Case

management experience within the past 3-5 years is required.

Managerial Experience: 1-2 years

Licensure/Certifications:

Required:

CPR (Cardiopulmonary Resuscitation)

Current Registered Nurse License State of Illinois

Preferred:

Specialty certification in clinical or functional area of nursing granted by a national nursing organization.

Other: Case Management certification expected within 2 years of hire.

Our Commitment to Diversity and Inclusion
 

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.