Manager Care Management RN

Description The Manager acts as a liaison between patients and families, department staff, physicians and the healthcare team, community agencies, managed care representatives, skilled nursing facilities, community agencies. The manager is responsible for establishing, implementing and monitoring best practice and established clinical standards to assure the quality of patient care and the financial integrity of the organization. Providence caregivers are not simply valued – they’re invaluable. Join our team at Swedish Edmonds and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Direct all Case Management department activities, including but not limited to direct supervision of RN Case Managers, Social Workers and support staff. Provides ongoing performance feedback, a yearly written evaluation and identification / implementation of staff training needs. Provides guidance to case managers to determine suitability for level of care based on community standard as well as published admission and continued stay criteria. Coach’s staff in finding alternative levels of care when appropriate as well as alternate payment rates when a denial is eminent. Is mindful of fiscal impact to the hospital in decision-making. Oversees, improves and troubleshoots processes associated with appropriate patient discharge. Leads interdisciplinary efforts to address complex patient discharge issues. Supports staff and department by sharing case management duties during times of high volume, low staffing and new and / or problem prone processes. Identifies variances in patients, processes and systems. Takes immediate and appropriate action to rectify variances with emphasis on collaboration with direct care providers. Continually collects and analyzes system and patient data to determine the effectivene...