Manager of Case Management, Allegheny General

Highmark Health•Pittsburgh, PA

22h•Onsite

About The Position

CASE MANAGEMENT: The Case Management Department at Allegheny General Hospital assists patients and their support systems in managing medical conditions effectively. Our team of talented Case Managers aims to individualize health care to meet each patient's specific needs with a patient-centric and outcome-driven focus. ALLEGHENY GENERAL HOSPITAL: AGH is a Level I Shock Trauma Center 5 state of the art ICU’s State of the art Cancer Center 550+ Beds ALLEGHENY HEALTH NETWORK: At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. GENERAL OVERVIEW: Incumbent provides oversite to daily operations. Attracts/hires talent and coordinates orientation/onboarding. Ensures team efficiency through scheduling, competency assessment (formal plan). Collaborates with team members on complex patients. Assures compliance with regulatory/policy/workflows through documentation review, observation and interaction. Embraces the core values and leads with integrity, determination and professionalism.

Requirements

Minimum Master's degree in Nursing, Social Work or other related field (Education and experience will be considered in lieu of degree)
3 years in leadership role
3 years in Acute Health care setting
Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) OR Licensed Social Worker
CPR – American Heart Association
Act 34 Criminal Background Clearance Certificate
Act 33 Child Abuse Clearance Certificate
Act 73 FBI Fingerprinting Criminal Background Clearance Certificate
Certification in Case Management within 3 years of hire

Nice To Haves

None

Responsibilities

Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
Serves as a change agent, mentor, and role model.
Responsible for implementation of mission, vision, philosophy, core values, evidence based practice (EBP), and standards of the organization, and nursing service within their defined areas of responsibility.
Leads collaborative discussions resulting in the efficient transition of medically or socially complex patients
Engages with resources, develops action plans and provides communication to leaders and clinical partners regarding metrics: throughput, LOS and delays.
Mentors and engages with team members to assure effective care coordination and transition planning for patients and families. This includes but is not limited to:
Conduct assessment to determine patient/family and health care team treatment goals, and need for post-acute services based on payer coverage, community resources, and patient preferences, and barriers to discharge
Address psychosocial, clinical, and financial barriers to discharge as identified in assessment in conjunction with the patient/family and health care team
Arrange appropriate level of post-acute services according to patient's needs and preference and payer coverage in collaboration with the physician and health care team
Communicate with and update the patient/family, physician, and health care team regarding progress on the discharge plan
Arrange appropriate transportation to post-acute venues
Other duties as assigned.