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Manager Care Management - Ambulatory Care


Company

Lancaster General Hospital

Cost Center

9050 Case Management

Supervisory Organization

Care Management

Grade

G17

Summary

This position is located in Lancaster, PA.  Some travel to various PCP practice sites required.

HOURS:   Fulltime, Monday - Friday position, primarily 8:00am - 4:30pm.  

SUMMARY:  Penn Medicine Lancaster General Health is currently seeking a Manager - Care Management.  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.

PRIMARY FUNCTIONS:

  • 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.

REQUIREMENTS

  • 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 is required.  Bachelor’s degree in Nursing (BSN) or a related health care degree is required, Masters preferred.
  • Master’s degree in Social Work (MSW) from an accredited school or program
  • Certification in Case Management is preferred or must obtain within 1 year of hire.
  • Four (4) years of management or leadership experience in nursing, social work or related healthcare position is required.
  • Three (3) years of case management experience is required.
  • Three (3) years of experience in a health insurance environment is preferred.
  • Three (3) years of experience working with physicians, staff and executive staff is preferred.

LGH Full Time Posted on 08/21/2019