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Manager Care Management


At Lancaster General Health, our culture is what sets us apart and creates a lasting impression of our health system in the community and in the hearts of our patients and their families. A role with us is more than just a job, we ask that you Live Your Legacy at LGH by finding your passion in your everyday role, committing to those you serve, and reaching for your personal best.

We are recognized as 1 of only 9 hospitals in the entire country with awards in Medicare.Gov, LEAPFROG and Healthgrades Americas 50 Best Hospitals. We have attained five year Magnet ® recognition status for the fifth time with the American Nurses’ Credentialing Center (ANCC) and we are the 2018 recipient of the Foster G. McGaw Prize in recognition of the commitment to community service.

PENN MEDICINE LANCASTER GENERAL HEALTH offers a comprehensive benefits package:

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program so that our employees can stay actively engaged and committed to living their legacy every day. Together, we will continue to make medical advances that help people live longer, healthier lives.

Join us and be part of a team that empowers you to do more than your job and encourages you to:

Live Your Passion. Live Your Best. Live Your Commitment. Live Your Legacy.

Summary

Fulltime 40 hours a week Manager
after hours availability for urgent issues. No weekends/holidays.

Job Description

POSITION SUMMARY: Under the direction of the Director, the Manager is responsible for assessing, planning, and providing support to Care Management team members under his/her direction.  Works closely with her team in overseeing, coordinating, and directing the activities necessary in managing high risk/high need patient populations across the care continuum.  Establishes the overall clinical development, implementation and supervision of care management team members and services that are provided to our patients and families.  

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

  • Provides clinical oversight to the case management staff.  Responsible for overseeing the daily operations of the team and coordination of department needs.
  • Oversees, coordinates and monitors all Care Management team clinical and non-clinical team activities to facilitate integrated proactive care coordination.
  • Assists the  Director with time cards and benefit records; interviews, hiring, training, coaching and mentoring in coordinating case management activities across the continuum.
  • Assists clinical teams with ongoing processes and special projects.
  • Promotes individual and department development and assists staff in maintaining educational requirements.  Supervises all clinical activities related to patient care, establishing standards of care and documentation of such.
  • Provides clinical guidance and assesses employee competency and maintains ongoing record of staffs’ performance   and documentation including solicitation of input from others and completes department performance review processes. 
  • Assists the Director with department budget needs.  Maintains procedures and data quality monitoring plans and prepares reports.
  • Oversees staff activities to ensure compliance with regulatory and accrediting standards.
  • Monitors data quality and productivity.  Works with the Director to set quality and productivity standards, reports, and takes corrective action where appropriate.
  • Participates in the building of systems and processes to most effectively manage healthcare consumer needs (information    systems, marketing, quality, and utilization management)
  • Collects objective data with regard to the clinical performance, behavior and self-development of each staff member.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

  • Develops working relationship with all inpatient nursing unit managers, their staff, and physicians to provide foundation for efficient case management services.
  • Works closely with Physician Advisors to oversee and coordinate utilization management functions.
  • Facilitates open and timely communication between team members, employees and external customers.
  • Other duties as assigned.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

  •  An RN or Social Worker is required for this role, with specific requirements being one of the following:
    • Current RN license, issued by the PA Board of Nursing iand Bachelor’s degree in Nursing (BSN) or a related health care degree OR Master’s degree in Social Work (MSW) from an accredited school or program.
  • Four (4) years of management experience in nursing, social work or related healthcare position.
  • Three (3) years of case management experience.
  • Three (3) years of experience in acute care or health insurance environment.
  • Three (3) years of experience working with physicians, staff and executive staff.

PREFERRED QUALIFICATIONS:

  • Certification in Case Management
  • Master’s degree
  • Five (5) years clinical/hospital experience.    
  • Three (3) years of experience with utilization management.

      COGNITIVE REQUIREMENTS

      Attention/Concentration: The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others:           

      • The position requires the ability to attend to more than one aspect of a situation simultaneously.  It is highly likely that multiple task demands are going to be required of the individual at the same time.

      New Learning and Memory: The following level of ability is essential for the jobholder to learn and retain material:

      • A large portion of this position required reliance on verbal memory and new learning.  Efficiency in processing of verbal information, either in written or spoken form, is a major requirement and prerequisite of the job.  The individual must be able to attend to and process multiple bits of information simultaneously.  The individual must be able to organize and categorize this information effectively so that later recall is feasible.

      Problem Solving, Reasoning and Creative Thinking: The following level of ability that is essential for the jobholder to think (in order to solve a problem) by combining two or more elements from past experience or imaginative thought:

      • The position required much autonomy of thought and problem solving.  The individual must be able to apply principles of logical or scientific thinking to define problems.  The individual must be able to think abstractly, which is manifested in the ability to form concepts, use categories, generalize from single instances, apply procedural rules and general principles, and be aware of subtle or intrinsic aspects of a problem.  The development of hypothesis and potential solutions to problems involves careful interpretation, analysis and diagnosis.  The individual must be able to collect data, establish facts, and draw valid conclusions.  The individual must be able to think creatively with a degree of inventiveness, experimentation and intuition.  They must be able to deal with a variety of concrete and abstract variables.

      APTITUDES:  The following are essential requirements of the position in relation to job-worker situations.  These items describe how a worker must adapt, adjust, conform or act:    

      Leadership, control and planning: Ability to accept responsibility for leadership, direction, control, planning, negotiating, organizing, directing, supervising, formulating practices, or making final decisions.

      Performing under stressful conditions: Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job.

      Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.

      Communication:  Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.

      Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.

      EQUIPMENT USAGE REQUIREMENTS

      Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies

      Software: Microsoft Office Products, database management, e-mail, internet research

      PHYSICAL REQUIREMENTS

      Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%

      Body Position/Movement:  

      • Sit: Frequently
      • Stand: Frequently
      • Walk: Frequently
      • Bend: Rarely
      • Push: Rarely
      • Pull: Rarely
      • Kneel/Squat: Rarely
      • Reach:Frequently
      • Twist: Rarely
      • Balance: Rarely
      • Climb: Rarely

      Lifting: Degree of physical exertion is:

      Light, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to move objects.

      Sensory Abilities specifically required: 

      • Hearing

      PHYSICAL ENVIRONMENT

      WORKING CONDITIONS: Exposure to hazardous conditions/ materials is negligible.

      Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job.  It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards.  The percentages of time spent performing job duties are estimates, and should not be considered absolute.  The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole.  Incumbent must be able to perform all job functions safely.

    Benefits of Joining Penn Medicine Lancaster General Health:

    PENN MEDICINE LANCASTER GENERAL HEALTH combines a Nationally Ranked Hospital with great schools, safe neighborhoods, affordable housing, local community events and festivals as well as a wealth of cultural and recreational activities. The scenic Susquehanna River Valley provides opportunities for fishing, skiing, kayaking, hiking and mountain biking in addition to easy access to NJ shoreline or Delaware beaches. Urban life is easily accessible, with New York, Baltimore, Philadelphia and Washington D.C. a train ride away. Local universities, Fulton Theatre, the downtown shopping and dining district and local sports teams make Lancaster a great place to Live, Work and Play.

    Disclaimer

    PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

     

    Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

    COMMERCIAL Full Time Posted on 11/30/2021