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Care Coordination Manager in Shawnee Mission, KS at AdventHealth

Date Posted: 1/10/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Job Category
  • Date Posted:
    1/10/2019
  • Job ID:
    18014712
  • Job Function
    Patient Care
  • Travel
    No
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Shawnee Mission

Job Description


Description

Care Coordination Manager AdventHealth Shawnee Mission

Location Address: 9100 W. 74th Street, Mission, KS 66204

Top Reasons To Work At AdventHealth Shawnee Mission

•       Providing faith-based, whole person care to Kansas City since 1962

•       Excellent health benefits, an onsite child care center and fitness facility  

•       Tuition reimbursement to support continuing education

•       Employee Referral Program

•       Largest health care provider in Johnson County with three campuses

Work Hours/Shift:

Full-time / Days

Exempt

You Will Be Responsible For:

•       Managed productivity and determines daily staffing assignments and schedules. Monitors daily work flow and clinical supervision of assigned staff.

•       Manages staff payroll functions

•       Ensure that work practices are meeting such standards, laws and regulations e.g. TJC, CMS, Kansas regulations.

•       Maintains and ensure accuracy of applicable department or house-wide policies related to Utilization review and case management.

•       Oversees training of new hires. 

•       Develops competencies related to job function and completes competency evaluations.

•       Provides feedback to staff and assists in development of action plans to improve performance.

•       Conducts annual competency testing of staff and provides ongoing monitoring of competency in a setting of rapidly changing requirements and regulations. 

•       Develops, conducts and evaluates the effectiveness of staff education.

•       Responsible for annual AAR process and action planning.

•       Responsible for employee engagement process and action planning.

•       Oversees and/or conducts audits and develops appropriate educational follow up.

•       Guides and performs utilization review, both concurrently and retrospectively.

•       Communicates findings to appropriate parties as indicated to facilitate the utilization review process or quality improvement initiatives related to utilization management (e.g. external review organizations, medical/organizational departments or committees).

•       Guides and performs case management functions related to moving the patient efficiently through the continuum of care, focusing on minimizing system barriers to timely and safe patient discharges to the next appropriate level of care. 

•       Maintains knowledge of and medical necessity criteria- initial, concurrent and discharge.

•       Demonstrates knowledge and use of regulatory guidelines and requirements for utilization management as indicated by TJC, CMS, QIO and other agencies as appropriate.

•       Evaluates patient satisfaction and intervenes/acquires resources to ensure patient and family needs are met.

•       Serves as patient advocate and enhances a collaborative relationship between the physician and multidisciplinary team with the patient and family to maximize informed decisions.

•       Recognizes new challenges effecting the department, assists in developing a nimble response and orchestrates the activities of the team to assure success.

•       Collects, measures, and tracks department statistics and implements action planning to improve metrics.

•       Participates in department-based and house-wide Performance Improvement activities.

•       Demonstrates discretion with accessing limited resources within the hospital system.

•       Communicates effectively with management on any matters of concern or risk.

•       Accepts special projects as assigned.

 

Qualifications

What You Will Need:

  • Bachelor’s Degree in Nursing
  • 5 Years of Position-Related Experience
  • Kansas Registered Nurse License
  • Excellent communication skills
  • Experience in statistical analysis that can effectively drive program change and priority

Job Summary:

The Care Coordination Manager is a member of the care coordination leadership team and reports to the Administrative Director for the department.  The Care Coordination Manager has 24/7 accountability and manages the day-to-day operations of the Care Coordination Department in collaboration with the Manager of Social Services. The Care Coordination Manager is responsible for the management of the case management staff in the performance of their varied duties relating to the utilization review and case management of patients.  In addition, serves to manage processes and staff participating in the revenue cycle process, e.g. appeals, RAC.  Serves as a utilization and case management subject matter resource and incorporates knowledge of hospital policies, procedures, protocols, state and federal regulations into decision making.  Participates at the Hospital and Corporate level initiatives, representing Care Coordination at AdventHealth Shawnee Mission.


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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