Case Management Manager

Internal Number : JobReq0051988

Job Description

Become an integral component of the Capacity Leadership Team for the Health System while owning primary oversight for Case Management at Saint Luke's East Hospital in your new role as a Care Progression Manager!

Full-Time; Days position!

Responsibilities include : managing designated aspects of care coordination, prior authorization, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital, and to minimize patient liability.

Candidates will need either a BSN or Master's Social work, 5+ years Case Management experience, 2+ years of leadership experience and either an RN license, LCSW or MSW to be considered!

This position reports directly to the Vice President of Patient Progression.

This position is responsible for the management direction and coordination of Case Management and Social Work components that comprise the Care Progression Department. The Manager plans, directs and implements all services related to case coordination, concurrent review, and utilization management programs, ensuring compliance with TJC, state and other regulatory agencies.

Responsibilities include but are not limited to :

• Managing designated aspects of the case coordination, prior authorization, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital, and to minimize patient liability
• Serving as an escalation point for complex discharges
• Managing individual(s) including but not limited to : hires, trains, assigns work, manages & evaluates performance, conducts professional development plans.
• Ensuring that the productivity and actions of that group meet / support the overall operational goals of the department as established by department leadership
• Developing and adhering to departmental staffing, revenue and / or expense budgets
• Responding to changes in the business which may affect the ability to achieve the budgets goals
• Adjusting programs to support the needs of the target patient population

Education

Experience

Leadership Experience

Licenses & Certifications

Job Requirements

Applicable Experience :

Job Details

Full TimeDay (United States of America)

The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.