Mgr Comprehensive Care RN

JOB SUMMARY Manager Comprehensive Care Management RN manages the activities and staff accountable for assessing and coordinating patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization.
Location: Dallas, TX- Baylor University Medical Center Schedule: FT Monday-Friday 8am-5pm Setting: Care Management ESSENTIAL FUNCTIONS OF THE ROLE Provides administrative, technical and clinical management of assigned staff in accordance with industry best practices which includes the responsibility for hiring, firing, performance evaluation, education, staff development, work allocation, and problem resolution.
Coordinates and helps ongoing problem solving related to care coordination, discharge planning, case management and utilization review.
Monitors processes and systems to ensure efficient delivery of services.
Establishes tools, processes, and systems to optimize the case management role.
Ensures appropriate patient care needs are met and treatment plans are executed in the appropriate level of the continuum.
Develops structures, relationships, and processes to facilitate participation by physicians, pharmacists, nurses, social workers and other health professionals in multidisciplinary care planning, care delivery, and discharge planning.
Develops and implements standardized polices to achieve efficiency of operations and the provision of optimum patient care.
Ensures compliance with all institutional policies and regulatory requirements.
Ensures appropriate scope of practice by staff.
Ensures that subordinates are familiar with prominent ethical standards in the profession, especially related to issues such as confidentiality, informed consent, conflicts of interest, dual relationships, boundary issues, documentation, consultation, referral, and termination of services.
Develops meaningful performance measures to resolve the quality, effectiveness and efficiency of operations in achieving desired outcomes.
KEY SUCCESS FACTORS Knowledge of Care Coordination, discharge planning, case management and utilization review.
Knowledge of human behavior and performance; personal differences in ability, personality, and interests; psychosocial methods; and the assessment and treatment of behavioral and affective disorders.
Knowledge of the ideas and methods to restore or enhance social, psychosocial, or bio-psychosocial functioning of people, couples, families, groups, organizations and communities.
Ability to develop structures, relationships, and processes to facilitate multidisciplinary care planning, care delivery, and discharge planning.
Ability to standardize policies, procedures, and programs.
Social skills to interact with a wide range of constituencies.
Verbal and written communication skills.
Ability to make operational steps around how work gets done - quality and productivity standards, measurable goals for employees and project teams, etc.
Ability to use broader aims to resolve how best to use resources to meet schedules and goals.
Ability to make or approve effective hiring and termination conclusions.
Ability to evaluate and recommend changes to policies, and establish procedures that affect the managed organization.
Basic business knowledge, including but not limited to: annual planning and goal setting, adherence to budgets, employee compensation, compliance and risk management.
General computer skills, including but not limited to: Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email.
BENEFITS Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS - EXPERIENCE - 5 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN)