Care Management - Manager RN

Job Title: Care Management Manager

Location: White Plains NY

Job Type: FullTime Benefits Sign on Bonus

Department: Care Management

Reports to: Administrative Director Care Management

We are seeking a dedicated and experienced Care Management Manager to ensure the delivery of quality services in compliance with hospital standards and regulatory requirements. This position involves overseeing department operations managing personnel budgeting quality assurance and participating in performance improvement initiatives. The role also requires fostering positive team collaboration and maintaining professional relationships with external community agencies.

• Ensure department services align with hospital mission and regulatory standards.
• Develop implement and monitor departmental goals objectives and quality improvement plans.
• Oversee budgets staffing and resource allocation to meet patient care and operational needs.
• Maintain compliance with state local and federal regulations.

• Manage recruitment orientation training performance evaluation and continuing education for staff.
• Conduct regular team meetings address concerns and document minutes for future reference.
• Foster a culture of positive employee relations customer service and professional growth.
• Serve as a mentor and provide coaching to staff to promote professional excellence.

• Participate in and lead departmental and hospitalwide performance improvement initiatives.
• Develop and implement departmentspecific quality assurance and PI plans.
• Monitor department performance metrics and identify areas for improvement.

• Stay current on Medicare Medicaid and private insurance guidelines.
• Ensure compliance with accreditation standards and departmentspecific regulations.
• Utilize Milliman/InterQual criteria for case management processes.

• Collaborate with interdisciplinary teams to support a cohesive care delivery model.
• Maintain strong relationships with community agencies to ensure seamless patient care transitions.
• Serve as a role model and advocate for hospital initiatives and quality standards.

Education & Licensure:

• Bachelors Degree in Nursing with an active RN license (required).
• Masters Degree in Nursing (preferred).
• Certified Case Manager (C.C.M.) and PRI/Screen certification (preferred).

Experience:

• 5 years of managerial experience in an acute care hospital setting.
• Previous case management experience required.
• Knowledge of healthcare financials regulatory standards and payer systems.
• Experience using Milliman/InterQual criteria.

Skills:

• Proficiency in Microsoft Office and data analysis.
• Strong organizational problemsolving and delegation skills.
• Excellent interpersonal and communication abilities.

• Demonstrates a collaborative and supportive leadership style.
• Analyzes complex problems effectively and prioritizes tasks.
• Maintains composure under pressure and resolves issues promptly.
• Exhibits strong analytical decisionmaking and planning skills.

• Requires quick mobility throughout the hospital and ability to utilize computers.
• May involve exposure to hazardous chemicals as per Safety Data Sheet (SDS) guidelines.
• Ability to interpret data read/write reports and effectively communicate with diverse populations.

Primary Population Served: All patient populations including neonatal pediatric adult and geriatric.

Note: This job description is not exhaustive and may be subject to changes based on organizational needs.

To Apply:
Please submit your resume and cover letter outlining your qualifications and experience.