Location: Orange Park,FL, USA
Manager of Case Management HCA Florida Orange Park Hospital Full Time - Days 7-10 Hrs/Weekdays Only Orange Park Medical Center is a full service, certified Level II Trauma Center with 300 plus inpatient beds located in the heart of Orange Park, FL and just outside of Jacksonville, FL. This state-of-the-art facility provides top-notch medical care to Clay County and the surrounding communities for over the past 40 years. As part of the HCA Healthcare family, the largest healthcare provider in the world, Orange Park Medical Center provides the opportunity to develop your career alongside more than 1,500 team members and 750 physicians on staff. Specializing in advanced robotics, open heart, maternity/delivery, pediatric and adult services and a dozen other major service lines, Orange Park Medical Center has grown from a small community hospital to a top healthcare provider of choice in Northeast Florida for patients, staff and physicians alike. The Manager is responsible for supporting the facility by ensuring effective and efficient utilization review and discharge planning services to all patients, as needed. In this position, you will oversee and manage the Case Management Department functions and staff. Position Summary: This position requires knowledge of Resource Management, under and over utilization, discharge planning, Medicare and government payer regulations, quality control and process improvement activities as related to Utilization Management. Supports the facility by ensuring effective and efficient utilization review and discharge planning services to all patients, as needed. Assures compliance with requirements or standards pertaining Joint Commission, Local Fl, and CMS. Oversee and manage the Utilization Management functions and staff. What you will do in this role: •You will be responsible for assuring compliance with requirements or standards pertaining to Joint Commission, Local FI, and CMS. •You will ensure effective, flexible utilization of staff within staffing guidelines, taking into consideration the staff's competency and patient acuity •You will evaluate staff performance and work-related behavior per policies, obtaining information from appropriate personnel utilizing effective coaching to enhance the performance of the employee •You will be responsible for managing the Revenue Integrity Department and its staff. •You will demonstrate effectiveness in planning for future needs by budget preparation on an annual basis, monitoring monthly reports to ensure that the department stays within budget constraints •Licensed as a Registered Nurse in the State which you practice or must hold Compact/Multi-State RN License •Bachelor's Degree required •2+ years of related experience in an acute care setting required; 1+ years of supervisory/leadership experience dditional Information: #FTEs: 38-40 Some type of leadership or supervisory experience is required, MUST have Case Management experience in an acute care setting Currently no candidates are being considered for this role The role is an exempt position - the hours would be normal business hours, but the candidate needs to understand and be willing to work more than 40 hours per week.