Employment Type:

Shift:

Description:

Exceptional opportunity for a Registered Nurse to support our vision as the Manager of Case Management. You will serve with us as a compassionate and transforming healing presence in our community. We seek extraordinary individuals from a variety of backgrounds because diversity makes us stronger.

The manager of Case Management coordinates activities within case management that provide for cost-effective and appropriate use of healthcare resources. The manager will also work with other departments to assure that the hospital is fairly reimbursed for medically necessary and reasonable services that are provided to patients.

Case Management/Care Coordination: Coordinates activities related to case management. Oversees schedules, hiring, evaluation, and competency testing of Care Coordinators. Utilization Review: Coordinates the various tools available for managing resource utilization within various care settings. Assists with the coordination of activities related to utilization review. Provides education and leadership to the Care Coordinators in order

REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

• Bachelors Degree in Nursing required

• Current, valid Michigan Nursing license required

• 3-5 years current experience in the areas of case management, discharge planning, utilization review, or a related field.

• Appropriate certifications preferred.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Assists with the development of annual goals for the case management program. Verbalizes and models the behaviors necessary to attain these goals to the case management staff.

• Ensures that staffing is sufficient and appropriate to meet both operational and budgetary goals. Adjusts staffing levels as appropriate for patient volume and acuity. Maintains payroll records.

• Prepares and participates in reporting as needed and requested. Oversees hospital LOS and CMI.

• Fills in as necessary in emergencies in all departmental positions. Maintains the in-depth practical level of knowledge necessary to do so.

• Works with case management staff to develop an annual “Impact Plan” as a way to build employee satisfaction and engagement.

• Actively supports patient satisfaction initiatives. Shares appropriate satisfaction data with case management staff and develops plans to impact related patient satisfaction scores.

• Performs all duties and responsibilities according to the organization’s service excellence standards.

• Provides education, support and expertise necessary for case management staff to meet their professional goals.

• Maintains personal professional growth and development necessary to keep abreast of current trends and techniques

• case management, utilization review and clinical documentation. Maintains current knowledge regarding federal and state regulations, legal updates, and third party payer requirements.e

• Develops and provides appropriate and ongoing competency evaluations to case management staff. Ensures that competency evaluations are timely and contain appropriate age-specific skills.

• Conducts an annual educational needs assessment and determines educational priorities for the case management staff. Provides or provides for needed education.

• Supports, leads, or participates in a variety of committees, teams or groups as needed by current hospital and department goals.

• Actively participates in any six sigma or other improvement projects related to the area of case management. Attends all necessary meetings and contributes an in depth knowledge of departmental processes.

• Participates in other hospital committees as requested.

• Provides appropriate educational updates as necessary to hospital and medical staff. Interacts with the medical staff as an expert in clinical documentation.

• Interviews, orients, trains, directs, evaluates and recommends the hiring, discipline and/or discharge of casemanagement personnel.

• Prepares objective, timely performance evaluations. Utilizes goal-setting techniques. Assists in developingappropriate measurable standards of performance.

• Ensures staff compliance with hospital and regulatory requirements.

• Performs a variety of other management tasks to ensure optimal delivery of services.

• Reviews and develops appropriate departmental policies and procedures. Ensures that employees are informed of newdepartmental and hospital policies and procedures.

• Works closely with the Physician Advisor to facilitate effective processes that will ensure appropriate use of hospital

• resources.

• Assists in the development of an appropriate departmental budget.\

• Facilitates a denials management process.

BENEFITS AVAILABLE TO YOU AS A COLLEAGUE OF TRINITY HEALTH ST. MARY MERCY LIVONIA

Competitive compensation and participation in an at-risk bonus program.

Benefits effective Day One! No waiting periods

Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability

Retirement savings plan with employer match and contributions

Opportunity for growth and advancement throughout SJMHS and Trinity Health

Tuition Reimbursement

Click Here to learn more about the benefits, culture and career development opportunities available to you at Trinity Health Saint Joseph Mercy Ann Arbor.

ABOUT TRINITY HEALTH ST. MARY MERCY LIVONIA

Trinity Health Livonia Hospital, provides comprehensive and compassionate care to the Wayne County community. The facility features a 24-hour emergency department, Level II Trauma Center, inpatient and outpatient surgery, general medicine, imaging services, physical medicine and rehabilitation services, intensive care unit, cancer care, cardiovascular care, senior services and birthing and women’s services. The 304-bed community hospital was founded and opened by the Felician Sisters in 1959.

Trinity Health is a leading Catholic health care system based in Livonia, Michigan. Trinity Health operates in 22 states, employs about 133,000 colleagues and returns almost $1.1 billion to its communities annually in the form of charity care and other community benefit programs.

Click Here to learn more Trinity Health St. Mary Mercy Livonia Hospital

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.