Manager Care Management

Manager Care Management at Martin Luther King, Jr. Community Hospital summary:

The Manager Care Management oversees a multidisciplinary team of care managers and coordinators to ensure appropriate patient assessments, discharge planning, and follow-up care in a hospital setting. This role involves supervising clinical and operational staff, managing compliance policies, vendor networks, and post-acute service providers to improve patient outcomes and reduce readmissions. The manager collaborates with various departments and community partners to facilitate seamless care transitions and supports staff education and performance monitoring.

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The Manager of Care Management will supervise and direct all levels of Care Management team that includes RN Care Managers, Lead Care Management RN, Care Management Coordinators, Discharge Planners (DCP), Care Coordinators, and Care Management Educator. This position may also be asked to supervise and cover supervision for other management in the CM Department. These services include assessment of patients for level of care, appropriateness for admission or observation, HLOC transfers, discharge assistance, and follow up care as appropriate in collaboration with the ED care management team and Social Work Department.

Care Management policies for this work initiated, reviewed and implemented by the Manager as needed.

This Manager role will also provide clinical supervision for scheduling, Kronos payroll, coaching/corrective action, and educational needs to ensure that the care management policies and processes are carried out for the organization. This role will oversee the electronic referral system, currently Ensocare, documentation of care management through Cerner Healthcare EMR including working with Clinical informatics (CIT), to develop or improve care management documentation, as well as handoff processes.

This position is responsible for overseeing post-acute providers, facilities and other types of community service providers as directed by the Director of Care Management. The Manager will assist with overseeing compliance policies and plan related to vendor networks to maintain a working relationship between MLK and individual network providers. Manager will identify opportunities to improve post discharge services to reduce readmissions and improve community health in collaboration.

Works collaboratively with other colleagues within the Population Health Program to support the entire Care Management Department. This role is expected to share in Care Management Leadership Call on a rotation basis as assigned by the Director for Care Management