Supervisor Care Management
OverviewWelcome to Saint Joseph East, a 217-bed, full-service, community hospital located in a convenient setting in Lexington, Kentucky. Saint Joseph East also includes the Women's Hospital at Saint Joseph East (https://www.chisaintjosephhealth.org/womens-hospital-saint-joseph-east) which is dedicated to supporting the well-being of women in Central and Eastern Kentucky and serves a 16-bed Level III Neonatal Intensive Care Unit (NICU).Whether you are an experienced healthcare professional or working toward that, we invite you to experience Hello Humankindness (https://www.chisaintjosephhealth.org/library/landing/humankindness) with us! CHI Saint Joseph Health provides you with the same level of care you provide for others. We care about our team members well-being and offer benefits that complement work/life balance such as:
Paid Time Off (PTO)
401(k) and 457(b) Retirement Programs with matching
Medical/Dental/Vision Insurance
Mental Health resources for you and your family
Wellness Program with rewards up to $450
Tuition Reimbursement for future career growth and development
Adoption Assistance
Voluntary Protection: Accident, Critical Illness, Identify Theft and Pet Insurance
Short and Long Term Disability
Free Premium Membership to Care.com with preloaded credits to support adult and child care needs
Employer Discounts
Relocation Assistance
for eligible hiresLearn more about Saint Joseph East and its awards and recognitions here: Saint Joseph East (https://www.chisaintjosephhealth.org/saint-joseph-east)ResponsibilitiesJob Summary / PurposeProvides leadership to Care Management RNs, Social Workers and support staff to accomplish the operational functions and performance goals of the department, which include efficient patient throughput, safe and effective care transitions, and compliance with payer and regulatory requirements.Essential Key Job Responsibilities
Operational Efficiency
Schedules team members so department is adequately staffed and patient needs are met.
Monitors and adjust staffing to achieve productivity targets and accomplish essential work functions of department.
Adjusts staff workloads to meet demand and ensure work is accomplished in a timely manner.
Monitors expenses against budget and plans proactively for departmental costs and charges. Works with director to develop department budgets.
Effectively uses managerial tools and software such as Infor, Kronos, Lawson, etc.
Staff Performance
Interviews and hires staff that are competent and will assist with meeting department goals.
Trains and develops staff to ensure their work is of high quality and aligned with departmental, regulatory and payer requirements.
Evaluates staff performance fairly and provides meaningful feedback on progress towards performance goals.
Observes and coaches staff as they perform their work to give real-time feedback.
Engages staff in department, hospital, and CHI Saint Joseph Health goals and results. Works with staff members to develop and achieve their own performance goals.
Resource/Role Model
1.
Provides expertise in problem-solving for difficult patient issues.
Knowledgeable in all aspects of Care Coordination, Discharge Planning and Utilization Management, including CMS regulatory requirements, and ensures compliance.
Provides supervision and coachingfor staff as applicable by professional discipline and licensure.
Demonstrates excellent communication and negotiation skills.
Role models service excellence, safety behaviors and CHI Saint Joseph Health values.
Achieves Results
Uses data to monitor, communicate, and achieve department performance metrics.
Identifies areas for improvement and participates/leads performance improvement activities.
Possesses strong organizational skills. Able to prioritize and delegate to manage a challenging workload. Holds staff accountable to accomplish assigned work.
Aligns with organizational goals and works collaboratively with direct reports, peers and hospital leadership to achieve results.
Partners with post-acute providers to ensure efficient patient transitions to post-hospital care.
Monitors use of software tools to ensure they are consistently used for maximum effectiveness.
Observes and coaches standard work to ensure consistent and effective staff performance.
The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.QualificationsMinimum QualificationsRequired Education and ExperienceBachelor of Science in Nursing.Will accept equivalent experience in lieu of degree if the candidate is enrolled in a BSN program and obtains his/her BSN within 2 years of hire.Equivalent experience :ADN – 3 yearsBSN – 1 yearMSN – 0 yearsRequired Licensure and CertificationsCurrent unrestricted license as a Registered Nurse.Required Minimum Knowledge, Skills, Abilities and Training
Clinical experience as Registered Nurse experience required:
ADN – 3 years
BSN – 1 year
MSN – no experience required.
Minimum 1 year care management / utilization management experience required.
Demonstrated knowledge in care management and utilization management
Proficiency with electronic health record required.
Proficiency with Microsoft Office (Word, Excel, etc.) required.
Ability to understand payer requirements and payer communications related to care management and discharge planning.
Ability to extract and manipulate meaningful data from various sources and develop data-driven action plans required.
Excellent verbal communication and coaching skills required.
Pay Range$31.92 - $46.29 /hourWe are an equal opportunity/affirmative action employer.