Lead Case Manager, Inpatient Utilization Mgmt., Full-Time, Days (8hrs)
MemorialCare Health System
Location: Long Beach, California
Internal Number: LON008145
This position requires the full understanding and active participation in fulfilling the mission of Long Beach Memorial, Inc. It is expected that the employee demonstrate behavior consistent with our core values: Accountability, Best Practice, Compassion and Synergy. The employee will support Long Beach Memorial Inc.'s strategic plan and demonstrates active support and participation in Lean initiatives for continuous performance improvement, patient safety and patient-centered care. The Team Lead is an expert-level clinician that manages a caseload per the requirements of Case Manager job description and standard work. In addition, the Team Lead responsibilities include input into the assessment, planning, implementing and evaluation of individuals, standard work and processes of an assigned team to ensure consistent high-quality, cost-effective patient care. The Team Lead is responsible for daily scheduling of inpatient case managers during his/her assigned shift. The Team Lead is responsible for coaching, auditing and coordinating standard work of the assigned team. The success of Inpatient Utilization Managemen is inherent in the incumbent's ability to demonstrate positive, professional communication with patients, families, physicians, departmental and interdepartmental staff to optimize workflow and to facilitate problem identification and resolution.
Case Management: Performs medical case management, including detailed chart review, assessment, interventions/education, planning, re-assestment and documentation as per standard work.
Continuum of Care: Has the responsibility to asses, plan, and communicate with the team, peers and supervisor utilizing all methods of communication and adhering to policies and procedures; actively mitigates barriers to care/services/resources with physician, nurse, treatment team, and the community. Leads processes for Transition Planning focused on continuity of care and the hand-off between providers of care/services/resources.
Utilization Management: Focuses on advocating/mitigating/negotiating for the right care, at the right time, and in the right place for the patients' circumstance. Acts as a resource to assist staff with removing barriers to safe patient discharge. Escalates issues to appropriate oversight groups or individuals. Performs medical case management and continuum of care responsibilities within department timeliness and productivity standards.
Leadership: Fosters employee engagement, inspiring loyalty and leading by example. Creates a supportive and healthy work environment through clinical and administrative leadership and expertise. Embraces a Lean mindset and utilizes the plan-do-study-act (PDSA) performance improvement model. Oversees daily operations of assigned team, including work assignments and coverage plans.
Quality: Provides supervision to assigned team members and ensures high quality of services through ongoing chart reviews, audits and daily management processes. Attends and contributes to the capability building of peers, the interdisciplinary team and the community in advocating for patients' rights, and care/services/resources. Creates an environment that supports and enhances service excellence and the Patient and Family Experience. Provides guidance to members of assigned team regarding opportunities to improve services.