Supervisor Care Management

WVU Hospitals — Ruby Memorial Hospital - Morgantown, WV

Job Title: Supervisor Care Management

Position: Care Management Supervisor in a healthcare setting

Job Type: Full Time

Pay:

Shift: Flexible hours, including weekends and holidays

Work Type: On-Site

Location

Address:

City: Morgantown

State: WV

ZIP Code:

Job Responsibilities

Promotes optimal clinical and resource utilization and facilitates appropriate lengths of stay and reimbursement for hospital admissions.
Acts as a key informational and educational resource liaison for the team.
Develops organizational approaches to problem-solving.
Analyzes current systems and variances to identify improvement opportunities.
Promotes quality of care through collaboration with service team members, patients, and families.
Oversees discharge/transition planning executed by Care Management staff and audits activities for accuracy.
Conducts weekly Clinical-Financial meetings to monitor patients with high dollar, high length of stay, and/or social barriers.
Collaborates with multidisciplinary teams to problem-solve complex cases.
Demonstrates clinical expertise and serves as a resource and role model for staff.
Provides guidance on complex patient assessments and interventions.
Documents interactions with patients and families in a timely and comprehensive manner.
Assists executive leadership in developing annual competency analysis system requirements.
Provides feedback to the Manager on employee performance.
Supports an innovative and empowering care delivery environment.
Promotes effective communication and conflict resolution skills within the staff.
Performs monthly compliance audits as directed.
Educates hospital staff on payer regulations and managed care principles.
Fosters the integration of staff and/or students into the healthcare team.
Participates in self-development activities to improve management skills.

Required Skills

Core Skills

Interpersonal communication skills
Negotiation skills
Team building skills
Problem-solving abilities
Conflict resolution strategies

Preferred Skills

Care Management Certification

Requirements

Experience: Five (5) years of Medical Social Work or Nursing experience, with 2 years in an inpatient hospital setting and 2 years of Care Management or supervisory experience

Education: Master’s Degree in Social Work or Bachelor of Science Degree in Nursing within six months of hire

License & Certification:

LGSW/LCSW/LICSW certification in West Virginia
Current unencumbered licensure as a registered nurse in West Virginia or through the enhanced Nurse Licensure Compact (eNLC)

Schedule:

Flexible hours, including weekends and holidays

COVID-19 Requirements: Not Specified

Benefits

Not specified

Supplemental Pay

Not specified

Special Notes

Equal Opportunity Employer: West Virginia University Health System complies with all federal, state, and local fair employment practices laws and prohibits discrimination against employees and applicants.