Import Coordination Manager jobs in Baton Rouge, LA

JOB PURPOSE OR MISSION

Under the supervision of the Director of Care Management, the Manager of Care Coordination will provide clinically oriented management of daily operations for the care coordination team. The manager will support the coordination of access to care, progression of care, and the transition of care from a wholistic patient perspective, understanding the department aim of resource utilization and throughput. The manager will lead the care coordination team to ensure quality and safety patient outcomes as they discharge from the acute setting and transition back into the outpatient management for continuing post-acute and community care. Performs all job duties for the age population served, as defined in the department’s scope of service.

PERFORMANCE CRITERIA

CRITERIA A: Everyday Excellence Values - Employee demonstrates Everyday Excellence values in the day-to-day performance of their job.

CRITERIA B: Corporate Compliance - Employee demonstrates commitment to the Code of Conduct, Conflict of Interest Guidelines, and the GHS Corporate Compliance Guidelines.

CRITERIA C: Personal Achievement - Employee demonstrates initiative in achieving work goals and meeting personal objectives.

CRITERIA D: Performance Improvement - Employee actively participates in Performance Improvement activities and incorporates quality improvement standards in his/her job performance.

CRITERIA E: Cost Management - Employee demonstrates effective cost management practices.

CRITERIA F: Patient & Employee Safety - Employee actively participates in and demonstrates effective patient and employee safety practices.

JOB FUNCTIONS

ESSENTIAL JOB FUNCTIONS include, but are not limited to:

1. Daily Operations (Maintains an organized department to ensure efficiency, accuracy of work, and information flow.)

2. Performance and Process Accountability (Participates in the development of departmental goals and objectives.)

3. Care Coordination (Ensures assessments, interventions, and discharge of patients and families are provided timely and with sound clinical judgement.)

4. Performs other duties as assigned.

EDUCATION AND EXPERIENCE REQUIREMENTS
Bachelor’s degree or higher required.

Current RN, LMSW, or LCSW licensure accepted in lieu of education requirement.

1 year of leadership experience and 5 years of healthcare experience preferred.

SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS

Case Management Certification is preferred.

Knowledge of CMS Condition of Participation Guidelines

Current reimbursement models: Commercial, Managed Care, Medicare, and/or Medicaid

Clinical knowledge of evidenced-based clinical practice, clinical trajectories, and recovery patterns.

Healthcare law and regulations related to acute care and the immediate post-acute continuum.

Essential leadership, advocacy, communication, education and counseling, and resource research skills

Expertise in project management and training.

Strong analytic, data management, and computer skills

Effective verbal and written communication skills

Ability to manage multiple priorities.

HIPAA REQUIREMENTS:
Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position including but not limited to: Medical records without limitation both paper and electronic, patient demographics, lab and radiology results, patient information related to surgery or appointment schedules, medical records related to quality data, patient financial information, patient 3rd party billing, patient related complaints, information related to patient location, public health records, and/or patients religious beliefs.

SAFETY REQUIREMENTS:
Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: Incident reporting, handling of wasters, sharps and linen, PPE, exposure control plans, hand washing, patient identification, receives orders for patients, and monitoring clinical alarms.