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Manager, Case Management job

Allegheny Health Network jobs

Company

Salary

Skills

Benefits

Company Description

Allegheny Health Network (AHN) is an integrated delivery network with 8 hospitals. The Pittsburgh, Pennsylvania-based organization aims to help people live healthy lives. Allegheny practices medicine, educates, and conducts research as a team of physicians, nurses, technicians, and support professionals. They strive for an inclusive culture. The network focuses on the collective whole while respecting individual differences. If you’re looking to open new doors in healthcare, they have a wide range of open positions for you.

Job Description

GENERAL OVERVIEW:

Manages, supervises, and coordinates the daily operations of a specific patient care team, providing clinical and administrative leadership and expertise. Contributes to the strategic planning process and attainment of goals of the department, the organization and network

ESSENTIAL RESPONSIBILITIES:

LEADERSHIP:

  • Responsible for implementation of mission, vision, philosophy, core values, evidence based practice (EBP), and standards of the organization, and nursing service within their defined areas of responsibility.
  • Demonstrates and role models professional behavior with all staff interactions.
  • Serves as change agent and role model for change to assist staff in accepting and embracing the necessary change.
  • Collaborates with physician advisors and partners to share performance metrics and patient care progression goals.
  • Leads organization initiatives for daily care progression huddles, prolonged stay forums, and complex care management processes.
  • Conducts monthly unit conferences with minutes which include discussions of both unit and organizational activities and goals.
  • Completes annual performance appraisals on associates which includes peer feedback process, plan for professional development and employee self-appraisal.
  • Attends greater than 50% of leadership meetings.
  • Promotes departmental shared governance process to include ongoing support through consultation and assistance in eliminating barriers.
  • Promotes ongoing development of staff.
  • Promotes collaborative practice within unit-based teams of social workers and nurse care managers.
  • Promotes and encourages specialty certification.
  • QUALITY AND PATIENT SAFETY:

  • Identifies, plans, and implements activities in specified clinical departments to promote interdisciplinary collaboration on behalf of the patient and their family to ensure safe and efficient care progression, effective and appropriate transition plans, and excellent clinical and patient experiences.
  • Monitors departmental performance in appropriate EBPs, quality and patient safety goals, meeting assigned goals.
  • Develops action plan for any goal not met which includes timeline.
  • Participates in 85% of monthly Joint Commission mock tracers.
  • Develops a yearly unit based quality plan with unit based clinical practice and PI council based on identified unit needs.
  • Assures departmental participation and compliance with Six Sigma (LEAN) projects goals related to through put and other quality improvement initiatives.
  • CUSTOMER SATISFACTION:

  • Assures that department works collaboratively with patients, families, physicians, and members of the interdisciplinary clinical teams to meet established organizational goals for patient experience.
  • Reviews nursing department Press Ganey report, making the connection to the care management team contributions and providing feedback to staff at monthly unit conference.
  • Investigates and provides feedback for identified patient or departmental concerns.
  • Rounding for Purpose weekly to assess patient and family needs.
  • Develops departmental plan to address any improvement needs.
  • Meet or show consistent progress toward meeting established patient experience goal(s).
  • FINANCE:

  • Demonstrates fiscal stewardship through effective and efficient use of staff, facilities, equipment, and other resources while maintaining patient care standards.
  • Maintains both FTE and Goods/Services within established budget, completes variance reports according to established guidelines.
  • Provides consistent communication and feedback related to length of stay, resource utilization, and prevalence of avoidable days.
  • Coaches care management/social work teams in use of avoidable day tracking metrics, key factors in level of care determination, and variation in payor requirements.
  • Utilizes established tools to monitor monthly budget performance, conducting drill down to explain variances as needed.
  • Reports budget performance at monthly unit conferences.
  • PROFESSIONAL GROWTH AND DEVELOPMENT:

  • Fosters the development of staff through coaching, mentoring, and creating an environment which encourages learning and use of research.
  • Assures appropriate orientation, education, credentialing, and professional development for personnel.
  • Encourages and facilitates staff membership on evidenced-based practice/research committee, and clinical practice councils.
  • Encourage and facilitate attendance at nursing grand rounds according to educational needs assessment of unit/department or network.
  • Foster peer review participation with staff an d participate in peer review with other managers..
  • Set professional developmental goals with staff member at yearly evaluation.
  • Identifies one area for self-improvement annually and develops a plan to improve.
  • QUALIFICATIONS:

    Minimum

  • MSN (Education and experience will be considered in lieu of degree)
  • Current PA RN licensure
  • Preferred

  • Professional National certification
  • As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company?s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee?s responsibility to comply with the company?s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.?

    Estimated annual salary
    $45,556
    average
    Minimum
    $30,361
    Maximum
    $65,443

    TASKS

    • Prepare and maintain records and case files, including documentation such as clients' personal and eligibility information, services provided, narratives of client contacts, or relevant correspondence.
    • Develop rehabilitation plans that fit clients' aptitudes, education levels, physical abilities, and career goals.
    • Monitor and record clients' progress to ensure that goals and objectives are met.
    • Confer with clients to discuss their options and goals so that rehabilitation programs and plans for accessing needed services can be developed.

    SKILLS

    • Reading ComprehensionUnderstanding written sentences and paragraphs in work related documents.
    • Active ListeningGiving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
    • WritingCommunicating effectively in writing as appropriate for the needs of the audience.
    • SpeakingTalking to others to convey information effectively.

    KNOWLEDGE

    • Administration and ManagementKnowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
    • ClericalKnowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
    • Customer and Personal ServiceKnowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
    • Computers and ElectronicsKnowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
    Employee DiscountVacation & Paid Time Off
    Tuition AssistanceEmployee Assistance Program
    Paid Holidays

    Allegheny Health Network

    Type

    Subsidiary

    Size

    Large

    Revenue

    Less than $1M

    Location

    Multiple locations

    Industry

    Ambulance Services

    Founded

    2013

    CEO

    John W. Paul

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