Orlando Health
Manger of Care Management, Variable Full-Time Days
Orlando Health, Clermont, Florida, us, 34712
Position Summary
Facility: South Lake Hospital
Location: Clermont, FL
Status: Full-Time
Department: Care Management
Schedule: Days
Title: Manager of Care Management
#LI-JM1
"Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you."
Orlando Health South Lake Hospital is a comprehensive medical and surgical acute care facility serving the residents of Lake County as a trusted member of the community for over 75 years. Conveniently located in Clermont, the hospital's dedicated team of physicians, nurses, clinicians and medical professionals is committed to delivering expert and compassionate care. Our efforts have earned us recognition as a national leader.
Click Here to Learn About: South Lake Hospital
ORLANDO HEALTH - BENEFITS & PERKS:
Competitive Pay
Evening, nights, and weekend shift differentials offered for qualifying positions. All Inclusive Benefits (start day one)
Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Employee-centric
South Lake Hospital has been selected as one of the "Best Places to Work in Healthcare" by Modern Healthcare.. The
Manager of Care Management
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
Essential Functions:
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 about payroll, supplies and miscellaneous other functions that deal with the financial performance of the departments overseen, Ensures incident reports are completed appropriately and follows up with incident reports as needed. Organizes/ leads staff meetings and huddles. 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.
Facility: South Lake Hospital
Location: Clermont, FL
Status: Full-Time
Department: Care Management
Schedule: Days
Title: Manager of Care Management
#LI-JM1
"Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you."
Orlando Health South Lake Hospital is a comprehensive medical and surgical acute care facility serving the residents of Lake County as a trusted member of the community for over 75 years. Conveniently located in Clermont, the hospital's dedicated team of physicians, nurses, clinicians and medical professionals is committed to delivering expert and compassionate care. Our efforts have earned us recognition as a national leader.
Click Here to Learn About: South Lake Hospital
ORLANDO HEALTH - BENEFITS & PERKS:
Competitive Pay
Evening, nights, and weekend shift differentials offered for qualifying positions. All Inclusive Benefits (start day one)
Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Employee-centric
South Lake Hospital has been selected as one of the "Best Places to Work in Healthcare" by Modern Healthcare.. The
Manager of Care Management
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
Essential Functions:
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 about payroll, supplies and miscellaneous other functions that deal with the financial performance of the departments overseen, Ensures incident reports are completed appropriately and follows up with incident reports as needed. Organizes/ leads staff meetings and huddles. 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.