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Orlando Health

Manager, Care Management at Lake Mary Hospital

Orlando Health, Lake Mary, Florida, us, 32795

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Position Summary

Department: LMH Care Management

Status: Full-time

Schedule: Dayshift

Title: Manger, Care Mangement

Orlando Health Lake Mary Hospital

The NEW Orlando Health Lake Mary Hospital represents Orlando Health's continued commitment to the Seminole County community, which we have proudly served for 40 years. As a comprehensive acute care facility, the hospital offers a full scope of medical and surgical services, including cardiovascular, general surgery, orthopedics, and women's services with labor and delivery, alongside a future NICU. Opening with 124 beds, the 455,000 square foot hospital will be able to expand to up to 240 beds. State-of-the-art facilities include operating rooms, catheterization labs, interventional radiology, a vascular lab, an ICU and a full-service emergency department.

For labor and delivery, the hospital features six private suites thoughtfully designed to make you feel at home while providing exceptional medical care. Each suite includes a hydrotherapy tub for laboring, shower, recliner, adjustable bed with a squat bar, wireless and waterproof heart rate monitors for mom and baby, a smart board that integrates patient and nurse information from Epic, WiFi, and televisions. These modern amenities ensure a comfortable and supportive environment for every patient.

Labor and delivery services, and a future neonatal intensive care unit 6 state-of-the-art operating rooms 3 catheterization labs with a dedicated interventional radiology and vascular lab Comprehensive cardiovascular care 16 ICU Beds Observation unit Outpatient Scripts Pharmacy Top Reasons to Choose Orlando Health - Lake Mary Hospital:

BEST Place to Work, 5 years in a row! As a new hospital, Orlando Health Lake Mary offers unique opportunities for career advancement, leadership roles, and professional development. Benefits Package that begins on day one (Full-Time & Part-Time only). Flexible Schedules Tuition Reimbursement up to $5,000 a year.

Position Summary:

Leads the care management team in facilitating appropriate use of hospital resources and effective discharge planning and coordination of services to transition patients to the next appropriate level of care.

Responsibilities • Manages educational, financial and human resources for the care management teams to deliver high quality, cost effective, and responsive patient-focused health care services. • Coordinates the workload distribution and scheduling of the care management team members to assure adequate and appropriate staffing to meet the needs of patients and families within the Orlando Health network. • Develops collaborative relationships with the site leadership, medical staff leadership, managed care contractors, and community leaders. • Supports positive relationships with payors and develops plans to optimize reimbursement and quality of care. • Monitors working DRGs and GMLOS assignment as appropriate. • Implements the performance improvement process to include outcome measurement as it relates to the identification of processes/ strategies/ opportunities that promote population health. • Achieves results by developing strategies to manage patient care across the continuum, focusing on high risk, high cost and problem prone areas to include patient at risk for re-admission. • Supports processes for clinical quality/ cost-improvement initiatives/ preventing re-hospitalizations. • Develops recommendations to expand the integration of post-acute care services and hospital operations to better meet the needs of Orlando Health and the community. • Designs educational strategies to assure compliance with regulatory standards for NCQA, HIPAA, CMS, and other local, state and federal organizations as applicable. • Coordinates budget implementation with regard to payroll, supplies and miscellaneous other functions that deal with the financial performance of the departments overseen, • Serves as a department intermediary for service problems. • Ensures incident reports are completed appropriately and follows up with incident reports as needed. • Organizes/ leads staff meetings and huddles. • Embraces, promotes and communicates change. • Demonstrates professional accountability by maintaining proficiency in assigned role and involvement in professional organizations and continuing education. • Holds self and others accountable to Orlando Health's mission, vision and values. • Develops and recommends concepts relative to new business opportunities, subsidiary organizations, acquisitions, current business design or other organization structuring to optimize organizational strength and meet operating mission. • Manages various human resources functions including hiring, work assignments, coaching plans, and performance counseling. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures.

Qualifications

Education/Training Graduate of an approved school of nursing, Master's in Social Work (MSW), Mental Health Counseling (MHC), or Marriage and Family Therapy (MFT).

Licensure/Certification • Florida RN license required and maintained current if graduated from an approved school of nursing. and BLS/Healthcare Provider certification required. • BLS/Healthcare Provider Certification within 90 days of hire.

Experience Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care. Preferred to include at least two (2) years in utilization management.

Leadership Experience is preferred in Care Mangement.