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Case Management Manager

Detroit, Michigan DMC Harper University/Hutzel Women's Hospital
Category Case Management & Utilization Review, Leadership Job ID 2606001197
Facility Detroit Medical Center Status Full Time Shift Day
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Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? AtDMC Harper University/Hutzel Women's Hospital, we’reseeking an innovative and experienced healthcare leader to drive excellence and inspire our teamtowards exceptional patient outcomes andoperational success.

Benefit Statement:

At Tenet Healthcare, we understand that our greatest asset is our dedicated team of

professionals. That’s why we offer more than a job – we provide a comprehensive benefit

package that prioritizes your health, professional development, and work-life balance. The

available plans and programs include:  

• Medical, dental, vision, and life insurance

• 401(k) retirement savings plan with employer match

• Generous paid time off (PTO)  

• Career development and continuing education opportunities  

• Health savings accounts, healthcare & dependent flexible spending accounts

• Employee Assistance program, Employee discount program

• Voluntary benefits include pet insurance, legal insurance, accident and critical illness

insurance, long term care, elder & childcare, auto & home insurance.

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

Provides management and operational oversight for the Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in collaboration with hospital and system leadership.

Ensures consistent and coordinated delivery of all assigned processes within the hospital.

Manages day to day operations of department to ensure hospital objectives are accomplished.

Develops and implements education and orientation programs for personnel.

Identifies the need for and drafts or defines procedures/protocols in collaboration with higher management input, goals and objectives; modifies procedures/protocols as necessary.

Monitors the quality and productivity of staff to ensure work is completed.

Approves personnel actions such as hires, fires, disciplines, etc.

Completes performance appraisals and ensures competency of staff. Assists in the development of daily, monthly and/or yearly goals and measures for department, and as requested, assists in assessment of goal attainment.

Assists in developing and monitoring budget. Develops current to intermediate goals and measures for the department. Maintains accountability for patient coverage and related activities among assigned staff members.

Maintains accountability for third party payer communications for discharge planning and decision-making. Monitors activities for and ensures compliance with laws, third party payer requirements, government regulations, Joint Commission requirements pertaining to areas of responsibility.

As directed, implements external and internal audit recommendations. Engages physician advisor to facilitate care decisions, as needed. Maintains current knowledge of health care techniques/practices, and case management strategies through educational programs/resources. Maintains a working knowledge of the requirements of payers, regulatory and compliance entities.

Establishes and maintains effective relationships with physicians and all other staff members, internally and externally. Identifies problems or any dissatisfaction experienced by any customer or referring source and works to resolve them to a high degree of service excellence.

Effectively turns negative situations into supportive relationships by use of concern, poise, understanding, honesty and tact. Promotes a positive customer relations environment. Performs other duties and functions as assigned.



Qualifications:

1.Graduate from an accredited school of Nursing. Bachelors degree in Nursing or other health-related field, or the equivalent combination of education and/or related experience. Masters degree preferred.

2.Three to five years clinical nursing experience.

3.Two years experience in utilization management, case management or discharge planning in an acute care setting. Previous experience with the targeted patient population is preferred.

4.Two years of management experience in an acute care setting.

5. License to practice as a Registered Nurse in the State of Michigan.

6. Case Management certification strongly preferred.

Facility Description:

DMC Harper University Hospital has distinguished itself in surgery and medicine andis known for its clinical expertise and innovative research. A specialty referralhospital, Harper has established Centers of Excellence in neurosciences, bariatricsurgery, vascular services, multidisciplinary cardiovascular services, hypertension,stroke prevention and heart failure.

EEO Statement

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.

Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations

Job: Case Management
Primary Location: Detroit, Michigan
Facility: DMC Harper University/Hutzel Women's Hospital
Job Type: Full Time
Shift Type: Day

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2606001197
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