Job Description
Salary: 79,033.50-118,540.50 USD
Facility: Mercy Hospital of Buffalo
Shift: Shift 1Status: Full Time
FTE: 1.000000Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: Yes
Work Schedule: Days and Evenings
Hours: 8:00am to 4:00pm
Summary:
In concert with the Director, Care Management and/or Manager, Care Management, this position is responsible to supervise the day to day operations of the Care Management Department to ensure consistent, effective and efficient site specific utilization review, medical management, discharge planning and care coordination for patients across our continuum. Assists in achieving site specific and system wide utilization/discharge planning performance metrics. Assists the Director in providing clinical oversight to the Care Management staff. Serves as subject matter expert and coach in terms of effective and timely discharge planning, care coordination including identification and resolution of patient and family concerns, insurance issues and/or discharge to other appropriate levels of care.
Responsibilities:
EDUCATION- Bachelors in Nursing required
- Registered RN in New York State
- Specialty certification preferred (i.e. CCM )
EXPERIENCEThree (3) years care management/medical management experience - Demonstrated track record of success/accountable for site/system wide clinical, quality and financial results in an acute care or managed care environment
- One (1) to two (2) years Management/supervisory experience preferred
KNOWLEDGE, SKILL AND ABILITY- Demonstrated ability to think autonomously, make strategic decisions and balance multiple priorities
- Excellent critical thinking skills, complex problem solving and analytical/statistical skills
- Extensive knowledge of medical management, utilization, discharge planning principles /practice
- Extensive knowledge and fluency of NYS DOH , CMS, JCAHO standards , third party regulations and compliance standards
- Stellar interpersonal/intrapersonal relationships with interdisciplinary teams
- Recognized and viewed as subject matter expert on care management, care coordination, disease management, discharge planning, utilization review for their respective site
WORKING CONDITIONS- Routine travel between acute care facilities may be required
- Flexibility in scheduling and on site assignment
- Normal heat, light space, and safe working environment; typical of most office jobs