Supv-Case Management

Job Requirements

Position Summary

Under the direction of the Case Management Manager, the Supervisor performs duties related to personnel supervision, daily staffing and functioning of the Case Management department. Serves as a resource to immediately address barriers and issues related to Discharge Planning/Care Transitions and Utilization Management.

Demonstrates strong organizational and planning skills. Works collaboratively with managers, administration, and physicians. Maintains responsibility and accountability for the management of patients across the continuum of care by working collaboratively with health care providers to provide cost-effective, quality care. This position reports to the Manager of Case Management.

Minimum Requirements

Education

• Associate of Science in Nursing, Bachelor of Social Work

Experience

• 3-5 years in the field of Case Management, LBSW with 10 years of hospital case management experience

License/Registration/Certifications

• Current R.N. licensure in the state of SC or Current Social Work licensure in the state of SC

Preferred Requirements

Preferred Education

• BSN, MSW

Preferred Experience

• N/A

Preferred License/Registration/Certifications

• RN or LMSW

Core Job Responsibilities

• Complies with established policies and procedures.
• Remains competent in Case Management functions.
• Assumes responsibility for monitoring and adjusting associate staffing levels to assure optimal patient care and cost-effective utilization of personnel.
• Uses administrative and case management policies and procedures to guide and direct the supervision of case management staff.
• Promotes an environment which stimulates continuous improvement, employee growth, employee engagement and retention.
• Applies counseling skills in supervision and motivation of personnel in accordance with SRHS personnel policies.
• Complies with regulatory requirements of Utilization Review and Discharge Planning.
• Responsible for the core functions of the Utilization Management plan.
• Performs audits for regulatory compliance, denial management, and resource utilization.
• Responsible for assisting with and maintaining records of associate education, new employee orientation and onboarding, associate education and ongoing competencies.
• Collaborates with internal and external partners.
• Educates the interdisciplinary team regarding any changes to the CM process and/or regulatory requirements.
• Negotiates timely decisions to expedite the discharge plan and ensure seamless transitions across the continuum of care.
• Approves transportation, medications, durable medical equipment assistance or other items to meet patient needs.
• Serves as a resource to the Case Management department.
• Identifies and elevates unresolved issues to Case Management Leadership and/or Physician Advisor.
• Coordinates and documents findings for length of stay rounds including but not limited to avoidable days and case review/consultation.
• Collects, interprets, and evaluates Case Management data, as requested by Case Management Leadership.
• Effectively represents the department and the facility. Participates on case management and hospital committees.
• Maintains professional knowledge, demonstrates professional development, leads and attends associate meetings and educational offerings. Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; and participating in professional organizations.
• Other duties as assigned.