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Manager – Care Management
Bon Secours Mercy Health. Provide leadership and oversee day-to-day operations of the Care Management Team .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Care Management, including Discharge Planning, Care Coordination, and Patient Advocacy, while effectively leading teams and collaborating with healthcare providers to optimize patient outcomes and resource utilization.
Highest-signal resume keywords
Bachelor Of Science In NursingAcute Hospital Care Management ExperienceCare CoordinationPatient AdvocacyLeadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementDischarge PlanningCare PlanningAnalyzing DataReimbursement MethodologiesClinical KnowledgeTrackingKnowledge Of Government Payor PracticesKnowledge Of Non-Government Payor PracticesStaffing Workflow
Soft Skills
Attention To DetailCritical ThinkingCommunication With Family MembersConflict ResolutionMentorship
Tools & Technologies
Care Management Systems
Certifications & Qualifications
Bachelor Of Science In NursingMaster's In NursingMaster's In Social WorkMaster's In Healthcare Administration
Industry Keywords
Patient SatisfactionCare TransitionsUtilization ManagementCost ReductionsOperational Standardization
About the role
Key responsibilities & impact- Provide leadership and oversee day-to-day operations of the Care Management Team
- Coordinate with Care Management leadership and colleagues to standardize functions, responsibilities, practices, and processes
- Oversee advance care planning, length-of-stay management, readmission prevention, predictive readmission tool use, denial prevention, progression of care, barrier resolution, daily team rounding, care transitions, and patient satisfaction related to care transitions
- Monitor qualitative and quantitative data and take action to mitigate barriers and improve outcomes
- Advocate and educate regarding the right care, right time, and right place
- Educate care management staff, physicians, nurses, and other care team members on progression of care, level of care, and safe and timely transitions
- Support care management standards covering education, care coordination, compliance, transition management, and resource utilization
- Use care management systems to support proactive processes across the continuum
- Collaborate with population health, community health, ambulatory, and post-acute providers to ensure seamless transitions of care
- Partner with physician leadership to optimize the Utilization Management Committee and provide actionable utilization data
- Direct daily personnel-resource operations consistent with patient and ministry needs
- Assist with departmental goals, objectives, strategic plans, and initiatives
- Foster collaboration with nursing, quality, hospitalists, physician advisors, and physician leadership
- Participate in annual budget development and management
- Identify and achieve cost reductions
- Support operational standardization and adapt to changing payment models
Requirements
What you’ll need- Bachelor of Science in Nursing or Social Work (required)
- Master's in Nursing, Social Work, or Healthcare Administration (preferred for BSMH, required for RSFH)
- 3 years of recent acute hospital care management experience (required)
- Care management
- Discharge planning
- Patient advocacy
- Care planning
- Care coordination
- Analyzing data or information
- Reimbursement methodologies
- Staffing workflow and bed allocation
- Clinical knowledge
- Tracking
- Working knowledge of local and state resources
- Knowledge of government and non-government payor practices, regulations, standards, and reimbursement
- Leadership
- Mentorship
- Training employees
- Knowledge sharing
- Attention to detail
- Critical thinking
- Communication with family members
- Conflict resolution
- Proactive approach
Benefits
Comp & perks- Competitive pay
- Incentives
- Referral bonuses
- 403(b) with employer contributions (when eligible)
- Medical, dental, vision, and prescription coverage
- HSA/FSA options
- Life insurance
- Mental health resources and discounts
- Paid time off
- Parental and FMLA leave
- Short- and long-term disability
- Backup care for children and elders
- Tuition assistance
- Professional development
- Continuing education support