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Job Summary:

Responsible for provision of hospital level leadership and management of all operational processes in the Care Coordination Department. Manager is responsible for implementation of evidence-based standards of practice, compliance with system Care Coordination policies and procedures, and for maintaining and improving the quality of care coordination delivered to all patients. Manager is responsible for assuring staff and program compliance with regulatory standards and requirements, and for monitoring team member engagement and advocacy with patients and families. The Manager works with the Director to assure timely reporting and coordination of all financial and strategic performance initiatives.

Core Responsibilities and Essential Functions:

Care Coordination Leadership
* Oversees team member work in the discharge assessment and planning, from admission to discharge.
* Assists Director in the implementation and coordination of the Hospital Length of Stay Committee.
* Develops and maintains evidenced based care coordination standard work order sets and care paths and updates annually to reflect evidence-based care coordination practices.
* Analyzes, interprets and makes recommendations based on care coordination outcome data.
* Monitors adherence to standard work, tracks variances from protocols/care paths and reports data to team and organization.
* Serves as a liaison to hospital clinical departments by providing feedback on care coordination outcomes and analyzing individual dept. performance with regard to established goals.
* Ensures compliance with relevant CMS and commercial payor standards to maintain specialty contract compliance and completion of all intra-cycle reports to be submitted to payors within required timeframe

Customer & Team Member Experience
* Promotes a positive environment to patients, families, staff and the community.
* Responds to inquiries and complaints effectively and timely and promotes a positive, professional image serving as a liaison between staff, physicians, and administration.
* Demonstrates commitment to teamwork through positive interactions and feedback to/from subordinates, physicians, peers and other customers.
* Accepts responsibility for employee morale and team performance toward goal achievement. Develops measurable, team goals, monitors progress and keeps staff abreast of progress toward achievement.
* Utilizes department metrics and develops plans to direct clinical practice performance initiatives, patient and staff satisfaction initiatives and improvements in physician relations and overall customer service.
* Represents WellStar by exhibiting values and credo.

Coordinates Patient Care
* Maintains a safe and therapeutic environment for the delivery of care based upon an understanding of current care coordination best practice balanced with cost effective utilization.
* Continually assesses current trends/clinical/technological advances in the area of best practice and takes appropriate action to improve outcomes, patient satisfaction and cost effective care.
* Reviews and updates department/program specific standards/policies/procedures as needed to assure compliance with established standards, standardization efforts and current practice.
* Oversees the daily operation of the program and, in collaboration with physicians and senior leadership, appropriately adapts patient care processes and transitions of care to the assessed needs of the patient/family.
* Assesses, provides for the delivery of and evaluates clinical practices and insures quality of services delivered within the program.
* Insures that all staff collaborates in the discharge planning process and patient/family education to enable the system to deliver services more cost effectively in the most appropriate setting to meet patient needs.
* Serves as an expert for complex and/or highly specialized patient care situations to hospital staff/personnel and other health care professionals within the organization and community.
* Demonstrates, via role modeling and consultation, advanced knowledge and practice in the assessment, diagnosis, treatment and evaluation of human responses to actual and/or potential health problems.
* Consults with healthcare providers, ancillary services, patients and significant others to assess and identify individual patient care needs

Education/Outcomes Management
* Participates with System Care Coordination in the development and maintenance of standardized care coordination education materials.
* Serves as a practice resource for care coordination team members.
* Site specific expert resource for clinical excellence in continuum of care.
* Sustain professional competency, skill development and specialty certification.
* Identify PI opportunities to achieve compliance with best practice by all caregivers.
* Track, trend and analyze data. Define opportunities for improvement from data analysis.
* Facilitate development of action plans to improve care coordination outcomes.

Fiscal Accountability
* Assists with the de velopment and implementation of operational and capital budgets that are consistent with system-wide, facility/divisional goals and objectives.
* Assists with the establishment of productivity measures and facilitates program and team achievement of established goals.
* Maintains FTE, salary and expense budgets at or below budgeted levels, demonstrating the ability to review/analyze current/historical data relevant to budget variances.
* Assists with the development of collaborative approaches that promote quality, cost-effective utilization services across the continuum

Liaison for Regulatory Compliance
* Coordinates with System Care Coordination and Hospital Director on compliance and regulatory standards as well as contractual guidelines.
* Assists in the development and implementation of professional standards for the program based upon recognized standards of care, JCAHO and CMS standards, state/federal regulations and overall system policies and procedures monitors staff compliance of regulatory standards.

Performs other duties as assigned

Complies with all WellStar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

• Masters Social Work or Bachelors Nursing or Masters Nursing-Preferred

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

• Lic Clinical Social Worker GA or Lic Master Social Worker GA or Reg Nurse (Single State) or RN - Multi-state Compact
• Basic Life Support or BLS - Instructor
• Certified Case Manager or Accredited Case Manager

Additional License(s) and Certification(s):

Certification in Care Management by National Accrediting Body Required

Required Minimum Experience:

Minimum 5 years recent care coordination experience in hospital setting Required and
Minimum 2 years recent experience in management of a multidisciplinary staff in the field of care coordination Required

Required Minimum Skills:

Strong interpersonal skills to facilitate team dynamics are necessary
Strong verbal and written communication skills
Time management skills, facilitative leadership skills, prioritization skills and change management skills are necessary to focus on goal achievement for the system

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.