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Care Management Supervisor in Maitland, FL at AdventHealth

Date Posted: 1/13/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Maitland, FL
  • Job Category
  • Date Posted:
    1/13/2019
  • Job ID:
    18015743
  • Job Function
    Population Health
  • Travel
    No
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Corporate

Job Description


Description
Care Management Supervisor AdventHealth Corporate
Location Address: 101 Southhall Lane Maitland, FL 32751
Top Reasons To Work At AdventHealth Corporate
  • Great benefits
  • Immediate Health Insurance Coverage
  • Career growth and advancement potential
Work Hours/Shift:
  • Full-Time, Monday – Friday
You Will Be Responsible For:
  • Coordinates activities involved in the operations of the Care Management Department.  Assists in maintaining efficiency and attainment of service metric goals.
  • Supervises assigned department activities so that services are provided in a manner that meets all applicable regulatory licensure and accrediting regulations.
  • Assists with department productivity measurements and adjusts resources to meet PHSO, Population Health Services Organization and department standards and metrics defined. Assists to identify needs and opportunities and makes recommendations for change.
  • Assists and updates management team on work-related issues, such as risk management, cost containment concerns, interdepartmental and/or intradepartmental concerns and medical staff issues. Assists in the preparation for Care Management rounds and team meetings. 
  • Assists with report production, preparation, analysis, and/or oversight for the Care Management Department including service metrics for care management/payor/provider/employer reporting.   
  • Assists in producing population-based reports for defined client populations; manages registries to identify gaps in care for clients; participates with healthcare team/providers for improvement efforts to close the gaps.
Qualifications
What You Will Need:
  • Nursing licensure as a professional registered nurse (RN) in good standing with the State of Florida
  • Bachelor of Science in Nursing, with a minimum of two years’ experience in Case/Disease Management
  • Comprehensive knowledge and understanding of case management, managed care, Precertification, and reimbursement methodology
Job Summary:
The Care Management Supervisor provides supervisory oversight of the Care Management Department.  Oversees training and orientation of the Care Managers, and monitors workflow and protocols of department.  Provides supervisory input relative to staff evaluations and performance; evaluates current processes to determine appropriate recommendations and updates management on work-related issues such as risk management issues, cost containment concerns, inter-departmental and intra-departmental issues. Oversight of the Care Managers’ determination of requested medical services to ensure it meets designated medical criteria and coverage under the health plan benefits.  Actively participates in outstanding customer service and accept responsibility in maintaining relationships that are equally respectful to all.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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