Nurse Manager – Utilization Management; Continuum of Care Renton WA

NURSE MANAGER I – UTILIZATION MANAGEMENT (CONTINUUM OF CARE TEAM) OVERSEES CLINICAL REVIEW , TRANSITION OF CARE, POST-HOSPITAL DISCHARGE NURSES AND HIGH COST CLAIMANT WORK APPROX. (28) DIRECT REPORTS – MUST LIVE IN WASHINGTON STATE OR IDAHO

Job Summary:

In addition to the responsibilities below, this position is also responsible for implementing best practice models; implementing patient care delivery systems and practice standards in one or more locations; investigating and resolving patient/family/member concerns regarding patient care and services; collaborating with physicians, outside healthcare providers, and other health care team members to achieve optimal and safe patient care across the continuum;

monitoring resource needs in assigned clinical areas to ensure appropriate assignment and utilization; monitoring the use and maintenance of equipment, supplies and medications; fostering a safe environment for patients and employees; maintaining clinical expertise of self and/or team, providing clinical supervision, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care in the unit; delegating tasks and duties that are aligned to scope of practice;

and performing clinical duties as required.

• Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends.
  
  Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
• Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress.
  
  Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives.
• Manages continuum of care / care at home operations to support patient care by: driving implementation of action items and supporting compliance with timelines and financial commitments; using and providing feedback on standard reports and identifying needed ad hoc reporting to meet specific client needs related to workflow and performance targets; providing feedback as needed on data collection, reviewing data, and translating reports into short-term operational initiatives;
  
  managing human resources activities related to recruitment, creating and ensuring the use of standardized procedures and processes for employee management; leading survey and compliance readiness activities, including mock rounds and mitigating issues, to maintain compliance and regulatory standards and developing procedures for preparing audit documentation, information, and reports; and assisting in the development and management of their departments expenditures, payroll, and non-payroll budget with input from a higher-level leader.
• Ensures standardized care delivery by: developing strategic partnerships with physicians and subject matter experts and managing complex work streams and…