Ocean State Job Lot
Manager Inpatient Care Management
Ocean State Job Lot, Los Angeles, California, United States, 90079
If you are interested, please apply online and send your resume to
NOrozco@mlkch.org .POSITION SUMMARYThe Manager of Inpatient Care Management will supervise and direct all levels of the Care Management team, including RN Care Managers, Lead CM RN, CM Coordinators, Discharge Planners (DCP), Care Coordinators, Inpatient CM Supervisor, Complex CM Team, CM Educator, and UM CM Staff. This position may also supervise and cover for other management in the CM Department. Responsibilities include assessing patients for level of care, appropriateness for admission or observation, HLOC transfers, discharge assistance, and follow-up care in collaboration with the ED and SW care management team. Care Management policies for this work are initiated, reviewed, and implemented by the Manager as needed.This Manager role will also provide clinical supervision for scheduling, UKG Pro payroll, coaching/corrective action, and educational needs to ensure that Care Management policies and processes are carried out for the organization. This role will oversee the electronic referral system, currently Ensocare, documentation of CM through Cerner Healthcare EMR, and work with Clinical Informatics (CIT) to develop or improve CM documentation, as well as handoff processes such as the Caringly tool.This position is responsible for overseeing post-acute providers, facilities, and other types of community service providers as directed by the Senior Director of Care Management, Social Work & Transitional Care. The manager will assist with overseeing compliance policies and plans related to vendor networks to maintain a working relationship between MLK and individual network providers. The Manager will identify opportunities to improve post-discharge services to reduce readmissions and improve community health in collaboration with other CM Managers (SW & ED/Transitional Care). The Manager may make decisions related to transportation and sign take-back agreements with other hospitals as delegated by the Senior Director.Works collaboratively with other managers within the Population Health Program to support the entire Care Management Department. This role is expected to share in CM Leadership Call on a rotation basis as assigned by the Senior Director for Care Management.ESSENTIAL DUTIES AND RESPONSIBILITIESManages and supervises the IP CM RNs, CM Coordinators, Care Coordinators, Discharge Planners, CM Educator, IP Supervisor, and UM team to support the MLKCH CM services, including assessments, transfers to HLOC, IP discharge needs, and follow-up care by the DCP team according to CM Department policies and procedures.Works in collaboration with the Manager of ED CM & Transitional Care and Director or Supervisor of Social Work Services to support the Care Management Program as well as the Population Health Program at MLKCH.Oversight of MLKCH compliance policies related to discharge planning and use of letters of agreements (LOA) with current/planned scope of post-acute networks including:MLK-LA Skilled Nursing Facilities (SNF)MLK-LA Home Health Professional Network (planning)MLK-LA Palliative and Hospice Network (planning)Oversees the assessment of the need for additional provider networks in collaboration with management, given new clinical/social needs and ongoing revisions to the Population Health Strategy.Identifies and vets potential post-acute service providers.Participates in hospital committees and unit-specific multidisciplinary conferences as well as staff meetings for the Care Management department.Models leadership and promotes professionalism to assist staff in developing priority setting, teamwork, and flexibility in support of the Care Management team and community health activities.Holds clinical and non-clinical staff accountable for performing initial assessments, identifying and documenting a discharge plan, and collaborating with the work team to ensure a safe patient discharge under the scope and standards for ACMA & CMSA standards.Responsible for the hiring process and identifying and recommending staffing needs with skill mix as appropriate to meet the needs of the population.Manages payroll in UKG Pro; monitors overtime as well as attendance related to HR policy for time & attendance.Oversees a mix of clinical, operational, and business projects including but not limited to those used to reduce readmissions, improve transportation services such as ambulance services, and other clinical services.Works closely with and in partnership with ED Care Coordinators, ED Case Managers, Social Work, TCN staff, and clinical staff to ensure that patient care transitions from MLK entities to post-acute network providers are seamless.Establishes and monitors management metrics: quality, outcomes, productivity of staff work, financial, case volume/mix, and provides scheduled reporting to the Senior Director of CM.Designs and coordinates formal and informal training for staff and providers regarding post-acute services case management services, and oversees the clinical education program executed by the CM Educator.Systematically and continuously evaluates and addresses internal and external customer concerns/grievances.Collaborates and coordinates services and joint meetings with LA Department of Health Outpatient Clinic staff.Collaborates and coordinates functional programs with MLKCH Outpatient Clinics to ensure smooth transitions to community healthcare for MLKCH patients.Collaborates with other CM Leadership to ensure adequate staffing and scheduling to support the functions of the transitional care team.POSITION REQUIREMENTSA. EducationBachelor's degree in nursing required. Master's degree in nursing or related area preferred.B. Qualifications/ExperienceFive (5) years acute care hospital, health plan, and/or ancillary services required.Prior Supervisory or Management Experience in a clinical role required.RN license required; CCM or ACM certification required within 2 years of hire.Basic Life Support (BLS) certification.Workplace violence prevention annually.Direct patient care or care coordination, utilization, case/disease management experience a plus.Experience with Medicaid/Medi-Cal patients and government programs preferred.Experience in clinical health informatics is preferred.C. Special Skills/KnowledgeSignificant knowledge regarding healthcare provider organizations – acute and post-acute care facilities and providers.Working knowledge of health plans and typical UM and medical management functions.Equal Rights EmployerApplicants are considered for positions without discrimination on the basis of race, color, religion, sex, national origin, age, disability, genetic information, citizenship status, military service, or any other status protected by federal, state, or local laws. This application is intended for use in evaluating your application for employment. Please click the link below to view the E-verify or Right to Work information.E-Verify/ Right to WorkMLK Community Healthcare1680 E 120th StreetLos Angeles, CA 90059Tel: 424-338-8000Email: info@mlkch.orgwww.mlkch.org
#J-18808-Ljbffr
NOrozco@mlkch.org .POSITION SUMMARYThe Manager of Inpatient Care Management will supervise and direct all levels of the Care Management team, including RN Care Managers, Lead CM RN, CM Coordinators, Discharge Planners (DCP), Care Coordinators, Inpatient CM Supervisor, Complex CM Team, CM Educator, and UM CM Staff. This position may also supervise and cover for other management in the CM Department. Responsibilities include assessing patients for level of care, appropriateness for admission or observation, HLOC transfers, discharge assistance, and follow-up care in collaboration with the ED and SW care management team. Care Management policies for this work are initiated, reviewed, and implemented by the Manager as needed.This Manager role will also provide clinical supervision for scheduling, UKG Pro payroll, coaching/corrective action, and educational needs to ensure that Care Management policies and processes are carried out for the organization. This role will oversee the electronic referral system, currently Ensocare, documentation of CM through Cerner Healthcare EMR, and work with Clinical Informatics (CIT) to develop or improve CM documentation, as well as handoff processes such as the Caringly tool.This position is responsible for overseeing post-acute providers, facilities, and other types of community service providers as directed by the Senior Director of Care Management, Social Work & Transitional Care. The manager will assist with overseeing compliance policies and plans related to vendor networks to maintain a working relationship between MLK and individual network providers. The Manager will identify opportunities to improve post-discharge services to reduce readmissions and improve community health in collaboration with other CM Managers (SW & ED/Transitional Care). The Manager may make decisions related to transportation and sign take-back agreements with other hospitals as delegated by the Senior Director.Works collaboratively with other managers within the Population Health Program to support the entire Care Management Department. This role is expected to share in CM Leadership Call on a rotation basis as assigned by the Senior Director for Care Management.ESSENTIAL DUTIES AND RESPONSIBILITIESManages and supervises the IP CM RNs, CM Coordinators, Care Coordinators, Discharge Planners, CM Educator, IP Supervisor, and UM team to support the MLKCH CM services, including assessments, transfers to HLOC, IP discharge needs, and follow-up care by the DCP team according to CM Department policies and procedures.Works in collaboration with the Manager of ED CM & Transitional Care and Director or Supervisor of Social Work Services to support the Care Management Program as well as the Population Health Program at MLKCH.Oversight of MLKCH compliance policies related to discharge planning and use of letters of agreements (LOA) with current/planned scope of post-acute networks including:MLK-LA Skilled Nursing Facilities (SNF)MLK-LA Home Health Professional Network (planning)MLK-LA Palliative and Hospice Network (planning)Oversees the assessment of the need for additional provider networks in collaboration with management, given new clinical/social needs and ongoing revisions to the Population Health Strategy.Identifies and vets potential post-acute service providers.Participates in hospital committees and unit-specific multidisciplinary conferences as well as staff meetings for the Care Management department.Models leadership and promotes professionalism to assist staff in developing priority setting, teamwork, and flexibility in support of the Care Management team and community health activities.Holds clinical and non-clinical staff accountable for performing initial assessments, identifying and documenting a discharge plan, and collaborating with the work team to ensure a safe patient discharge under the scope and standards for ACMA & CMSA standards.Responsible for the hiring process and identifying and recommending staffing needs with skill mix as appropriate to meet the needs of the population.Manages payroll in UKG Pro; monitors overtime as well as attendance related to HR policy for time & attendance.Oversees a mix of clinical, operational, and business projects including but not limited to those used to reduce readmissions, improve transportation services such as ambulance services, and other clinical services.Works closely with and in partnership with ED Care Coordinators, ED Case Managers, Social Work, TCN staff, and clinical staff to ensure that patient care transitions from MLK entities to post-acute network providers are seamless.Establishes and monitors management metrics: quality, outcomes, productivity of staff work, financial, case volume/mix, and provides scheduled reporting to the Senior Director of CM.Designs and coordinates formal and informal training for staff and providers regarding post-acute services case management services, and oversees the clinical education program executed by the CM Educator.Systematically and continuously evaluates and addresses internal and external customer concerns/grievances.Collaborates and coordinates services and joint meetings with LA Department of Health Outpatient Clinic staff.Collaborates and coordinates functional programs with MLKCH Outpatient Clinics to ensure smooth transitions to community healthcare for MLKCH patients.Collaborates with other CM Leadership to ensure adequate staffing and scheduling to support the functions of the transitional care team.POSITION REQUIREMENTSA. EducationBachelor's degree in nursing required. Master's degree in nursing or related area preferred.B. Qualifications/ExperienceFive (5) years acute care hospital, health plan, and/or ancillary services required.Prior Supervisory or Management Experience in a clinical role required.RN license required; CCM or ACM certification required within 2 years of hire.Basic Life Support (BLS) certification.Workplace violence prevention annually.Direct patient care or care coordination, utilization, case/disease management experience a plus.Experience with Medicaid/Medi-Cal patients and government programs preferred.Experience in clinical health informatics is preferred.C. Special Skills/KnowledgeSignificant knowledge regarding healthcare provider organizations – acute and post-acute care facilities and providers.Working knowledge of health plans and typical UM and medical management functions.Equal Rights EmployerApplicants are considered for positions without discrimination on the basis of race, color, religion, sex, national origin, age, disability, genetic information, citizenship status, military service, or any other status protected by federal, state, or local laws. This application is intended for use in evaluating your application for employment. Please click the link below to view the E-verify or Right to Work information.E-Verify/ Right to WorkMLK Community Healthcare1680 E 120th StreetLos Angeles, CA 90059Tel: 424-338-8000Email: info@mlkch.orgwww.mlkch.org
#J-18808-Ljbffr