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At ChenMed, if you are an innovative, entreprenuerial minded, over-achiever who is extremely passionate in helping people and revolutionizing Healthcare again, we are that dynamic and exciting company you are looking for!
Primary Duties and Responsibilities:
Provides structure and assure consistent implementation of the CM plan, DM plan, SOPs and policies in all centers.
Create SOPs as appropriate.
Precept new case managers.
Serve as resident CM and DM “expert” to consistently support CM needs for market specific education.
Provides support for catastrophic cases within the clinical support group.
Identifies problems or any dissatisfaction experienced by patients or referring source and works to resolve them to a high degree of service excellence.
Build relationships with preferred acute care providers (hospitalists, specialists).
Attend meetings that require CM/DM participation relay information as needed to other market case managers.
Assign coverage for CM PTO/Open positions.
Assists with quality audits; Analyzes case management/disease management outcomes to identify issues and make recommendations.
Formulates, implements and evaluates educational strategies for staff, patient and family.
Float to other centers as needed
Input into case manager performance evaluations or direct supervisory authority as determined by market leadership.
Assists in the interviewing, hiring and firing of case management staff.
Other Responsibilities May Include:
Assists with quality audits and data analyses to identify opportunities for improvement.
Supports quality improvement initiatives.
Assists with creation and implementation of SOPs.
Assists with coverage for PTO and open positions as requested.
Serves as a preceptor when assigned.
Serves as a resource for CM/DM process and documentation.
Provides supervisory coverage for the Lead Case Manager as needed.
Assists with patient complaints and follows to resolution.
Other duties as assigned and modified at manager’s discretion
KNOWLEDGE, SKILLS AND ABILITIES:
Strong interpersonal, communication and critical thinking skills are required.
Ability to work autonomously is required.
Fluent in English.
EDUCATION / SPECIALIZED KNOWLEDGE REQUIREMENTS:
Certification in case management is preferred. Hospital, healthcare setting experience is preferred.
Minimum of two (2) years of utilization review, case management, home health and/or discharge planning experience is preferred.