Manager, Case Management & UM Services (full Time, 40, Day)

Job Title

Effective Date: 02/25

Job Summary/Responsibilities:

Directs and manages administrative and clinical operations of Emergency Department and Inpatient Case Management services.

Develops, implements, monitors and evaluates for effectiveness, a collaborative practice model directing processes along the patient care continuum.

Monitors department to ensure achievement of goals and objectives as established by the business plan and alignment with the strategic plan and vision of the Medical Center.

Ensures functions, activities, services, and programs meet all regulatory and accreditation standards and requirements.

Typical Physical Demands:

Seeing, hearing, speaking, finger dexterity.

Frequent: walking, standing, sitting.

Occasional: walking on uneven grounds, stooping/bending, squatting, kneeling, climbing stairs, lifting, pushing/pulling, and carrying weight of up to 20 lbs; reaching above, at, and below shoulder level, repetitive arm/hand motions, static gripping of an object for prolonged periods of time.

Typical Working Conditions:

Not substantially subjected to adverse environmental conditions.

Exposed to blood products, body fluids, communicable diseases.

Frequently works on multiple tasks and priorities at one time.

Minimum Qualifications:

A. Education/Certification and Licensure:

Current Hawaii State license as a Registered Nurse.

Bachelor's degree in Nursing.

Master's degree in Nursing preferred.

B. Experience:

Five (5) years nursing experience with at least three (3) years experience in Case Management.

Two (2) years supervisory/leadership experience.

Prior experience in a comparable role highly preferred.

Experience to demonstrate:

Knowledge of case management, utilization review processes and discharge management.

Knowledge of community care management practices preferred.

Knowledge of and experience with Milliman Care Guidelines (MCG) preferred.

Equal Opportunity Employer/Disability/Vet