Manager of Care Management

City/State: Nyack, New York Department: Care Management Work Shift: Day Work Days: MON-FRI Scheduled Hours: 8 PM-4:30 AM Scheduled Daily Hours: 8 HOURS Hours Per Pay Period: 40 Pay Rate/Range: Starting at $140,000 Demonstrates adherence to Montefiore Nyack Hospital “We Care” standards including: WORKING TOGETHER “I will commit to work together in a courteous, respectful manner.

I will demonstrate a positive spirit of service with all employees with whom I interact.” Place team success above individual recognition. Be receptive to new ideas and approaches within my workplace. Offer assistance generously without hesitation. EMPOWERMENT “I will be accountable, responsible, and self-directed in all aspects of my work at all times.

” See projects through to ensure completion. Problem solve with patients, family members, and other employees. Follow up to ensure a resolution. COMMUNICATION “I will demonstrate positive communication in a clear, courteous and appropriate manner at all times.” Answer the phone within three rings if possible and identify myself, my department, and ask, “How may I help you”?

Use effective verbal and written communication to patients, families, visitors, using the principles of AIDET (Acknowledge, Introduce, Duration, Explanation, Thank You) Use positive communication in my tone of voice, body language, and choice of words. Respond to e-mails in a courteous manner, with-in twenty-four hours.

APPEARANCE “I will dress in a manner that reflects a professional and positive image of the hospital at all times” Maintain a clean, neat, and professional appearance which adheres to the hospital dress code policy. Promote and adhere to Montefiore Nyack Hospital's guidelines regarding a safe and clean work environment for employees, patients, families and visitors.

RESPONSIVENESS “I will demonstrate the ability to provide timely feedback and communication to patients, visitors, and coworkers.” Respond to patient call lights and ask if I can assist. (No Pass Zone). Respond empathetically. Apologize for delays and concerns. EXCELLENCE IN SERVICE “I will strive to ‘do my best everyday’ in exceeding customer expectations.

” Anticipate and address my patients’, families and visitors needs. Avoid negativity and exhibit a “can-do” attitude. “Manage up” fellow employees, physicians, departments, and the organization, to increase patient confidence both internally and in the community. Exit elevators to accommodate our patients’ first. Acknowledge people in the hallway by smiling and making eye contact.

Help lost guests and new employees by escorting them to their destination. Demonstrates the technical/professional knowledge, skills, and abilities necessary for the successful operations of the department including, where applicable, age specific competency.* Designs, develops, implements, and manages the philosophies, job descriptions, policies, procedures and goals of the case management department.

Maintains positive relationship with IPRO and other third party payers requiring review and certification. Maintains Prospective Payment System, monthly case log, and other forms and files, as needed for peer review organizations and for hospitals specific needs. Manages Care Managers in the management of patients across the continuum of patient care, from the patients entry into the health care system, until the appropriate outcome is achieved.

Revises as required, Department Policy & Procedure manuals to maintain compliance with JCAHO, DOH and IPRO. Directs appropriate length of stay discharge decisions based on knowledge of State, Federal and Third Part regulations. Monitor and report number of admissions and continuing stay denials. Reports number and type of quality indicators identified by case managers Develops system to ensure that admission to the hospital is appropriate and patient achieves length of stay targets and is referred to the appropriate setting in a timely manner.

Develops quality improvement indicators which will evaluate patients who are high cost, high resource users, frequent readmissions to the hospital, determination of patient/family/provider satisfaction, decreased fragmentation of care, identification and resolution of system barriers. Actively communicates the outcome of the review process with Patient Financial Services and other disciplines as needed.

Conduct facility wide education on a periodic basis related to LOS initiatives. Manages activities related to overturning adverse determinations. *Document on addendum age specific competency. Montefiore Nyack Hospital is an equal employment opportunity employer. Montefiore Nyack Hospital will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.