Manager Social Services-Case Management

Manager, Social Services - Case Management

Allen Hospital - Waterloo, IA

Full-time, 8:00am - 4:30pm with occasional weekend coverage

Responsible for the development, implementation and evaluation of the care provided for Care Management which is consistent with the established strategic plan, goals and objectives. Responsible for daily operations and 24-hour management of the department. Supports optimal care that requires specialized knowledge, critical thinking and skills based on principles of psychological, social, physical, and biological sciences that utilize the nursing and social services process. Demonstrates the attributes of Servant Leadership, communicates exceptionally, and motivates others to achieve outcomes through work with multidisciplinary teams. Serves as chief recruitment and retention officer for department and works in collaboration with nursing leadership to identify areas of improvement regarding practice, policies and processes. Collaborates with physicians and other health care workers, to assess, plan, implement and evaluate services in collaboration with other care givers.

Leadership

• Provides leadership by directing, coordinating, and delegating patient care in an organized manner, allowing for flexibility.
• Collaborating with the leadership team, effectively resolving complex unit situations, such as patient/family issues or complaints and crises as they occur within the units in a timely manner. Notifies Director and/or Administration of concerns that have the potential to escalate or lead to Risk Management concerns.
• Evaluates and guides staff through coaching and immediate feedback and accountability regarding job performance. Demonstrates the ability to interpret, apply and follow personnel policies/procedures fairly and consistently.
• Reviews staffing and effectively communicates with others to ensure staffing requirements are met.
• Provides feedback to Regional Director for ongoing performance management.
• Collaborates withRegionalDirector to complete employee rounding to meet standards.
• Demonstrate clinical leadership as a role model for other team members and provide direction that ensures top of licensure duties of all team members.
• Providing ongoing support as a content expert and role model related to the Manager role.
• Ensures adequate competency training and continuing education programming is done to meet identified staff development needs.
• Builds trusting, collaborative relationships with staff, peers, providers, and administration to advance the core patient business strategy.

Clinical Excellence

• Possess a broad understanding of discharge planning strategies, level of care requirements, payments systems and associated requirements.
• Upholds and role models the standards of excellence.
• Supports and empowers staff to act with appropriate responsibility for the work processes and work environment of which they are a part. Evokes in staff a sense of ownership of and accountability for their work. As well as stimulate staff to continuously improve their performance.
• Provides oversight, implementation, and evaluation of population-specific performance improvement initiatives, quality metrics, and core measures.
• Models behaviors for demonstrating values in performing job responsibilities.
• Provides leadership to improve performance, based on process improvement methodology and reports short and long term outcomes.
• Provides specific and timely feedback to employees to recognize positive demonstration of values and correct performance that does not reflect values.
• Provides oversight for utilization of evidence-based care for patient populations.
• Assesses need for patient and family education. Participates with the healthcare team in identifying and providing health teaching and counseling, as appropriate. Facilitates referrals to appropriate resources.

Development & Patient Education

• Assists with orientation program and training of newly hired team members and assist with development of onboarding and educational materials.
• Helps with staff education/in-services/specialized skilled training programs including competencies.
• Continues professional development and involvement in professional activities that enhance nursing/social work practices by sharing knowledge through networking and research.
• Consults appropriate resources within the hospital to provide specialized education.

Performance Improvement

• Assists Regional Director with performance improvement action plans and implementation of plans, monitoring of supplies and chart audits.
• Collaborates with Regional Director to complete staff rounding requirements.
• Supports monitoring and maintaining of hospital and STI goals.
• Maintains their own goals tracking and monitoring.

• Registered Nurse with bachelors degree or Social Worker with MSW. Masters Degree in Healthcare related field preferred.
• Five years experience in healthcare or managed care setting.
• Registered Nurse licensed in Iowa or MSW Social Worker licensed in Iowa.
• Licensure in second state required within 90 days of hire.
• Demonstrated results in leading interdisciplinary teams, care coordination, and maintaining compliance with regulatory standards required.
• Experience with Medicare Conditions of Participation, Joint Commission Standards, utilization management and case management preferred.
• Ability to maintain current professional expertise.
• Exhibits discretion and sound judgment in all aspects of the job.
• Must have knowledge of Medicare Regulations and familiarity with Professional Review Organization regulations.
• Must successfully complete in-hospital orientation and competencies
• Must have excellent oral and written communication skills with providers, payers, and consultants with the ability to negotiate and establish effective working relationships with members of the healthcare team.
• Knowledge of prospective payment systems, QIO activities, federal and state rules and regulations.

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• Commitment to our Team For the second consecutive year, we're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment to our team members.
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• Benefits Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage youre in.
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