Manager Case Management in Nashville, Tennessee, United States
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TriStar Skyline Medical Center

Manager Case Management

New
Nashville, TN, United States
Full-time • No Weekends
Directors and Managers   Job ID: 688813
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Description

Introduction

We are seeking a Case Management Manager with TriStar Skyline Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us!

Benefits

TriStar Skyline Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Fertility and family building benefits through Progyny
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • Family support, including adoption assistance, child and elder care resources and consumer discounts
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan
  • Retirement readiness and rollover services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are seeking a Case Management Manager for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us!

Job Summary and Qualifications

The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care by coordinating all aspects of hospital based case management for his/her assigned area of responsibility in alignment with the goals of the Case Management Department. The Manager for Case Management is accountable for the overall day-to-day oversight and management of the case management program including coordination, supervision, and administrative oversight of the case management team. The Manager for Case Management functions as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for the members of the case management team. The Manager for Case Management supervises and monitors professional and support staff and ensures that effective care coordination and case management practices are consistent with hospital policies, and applicable regulations and guidelines. The Manager for Case Management monitors quality of the interactions, documentation and assessments of the case management staff. The Manager for Case Management coordinates activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

What you will do in this role:

  • In this role, you will serve as a role model and function as a clinical resource for staff.
    • Your role supervises and facilitates development of staff and oversees the day-to-day tasks/activities in the department.
    • Your role ensures staff are competent in the use of InterQual to progress the plan of care.
    • You will work collaboratively and maintains active communication with physicians, nurses, and other members of the interdisciplinary care team to effect timely, appropriate patient management.
    • Your role monitors the quality of CM interactions with patients, families, physicians, and the multidisciplinary team by regularly shadowing staff to ensure clear understanding and adherence to department processes.
    • You will monitor quality of documentation and assessments by regularly auditing the case managers’ documentation.
    • You will participate in clinical performance improvement activities.
    • You will communicate effectively with patients, family, medical staff, care team members, students, supervisors, and outside contacts.
    • Your role assumes responsibility of the department in the absence of the Director.
    • You will assume responsibility for scheduling and staffing of department along with department education and competencies.
    • In this role you will complete daily, weekly and monthly reports as assigned by the Director of Case Management.
    • You will seek ways to control costs without compromising patient safety, quality of care, or the services delivered.
    • You will adhere to established policy and procedure and standards of care; escalates issues promptly through the established chain of command.
    • Your role demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
    • You will serve as an advocate for patient's rights, needs, and values; ensure that patients’ ethnic, cultural, or religious values, beliefs, preferences ,and needs are considered and aligned.
    • You will practive and adhere to the “Code of Conduct” and “Mission and Value Statement.”

    What qualifications you will need:

    • Associate’s degree in nursing is required, bachelor’s degree is preferred, from an accredited school of nursing
    • Current Tennessee RN license
    • 3+ years experience in clinical nursing required
    • 2+ years supervisory experience preferred 
    • Case Management certification [CCM or ACM] not required but preferred
    • InterQual experience preferred

    This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).

    TriStar Skyline Medical Center is a 250+ bed facility. We are Tennessee's first comprehensive stroke center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program and are an ACS verified Level II Trauma Center. As an Accredited Chest Pain Center with PCI, TriStar Skyline is a leading provider of emergency heart care.

    "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder

    Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.

    We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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    Details

    Directors and Managers
    Full-time • No Weekends

    COVID-19 Vaccination

    In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption (including booster for California).

    About HCA Healthcare

    What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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