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Lead Nurse - Case Manager

Location: Atlanta, GA
Date Posted: 10-19-2017
Job Location:  Atlanta, GA
Job Description


ESSENTIAL JOB FUNCTIONS:

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.
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