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Beaumont Health System Mgr, Care Management in Wayne, Michigan

divbspanGENERAL SUMMARY:/span/bspan/spanspanUnder the direction of the Care Management Director, the Manager, Care Management is responsible for coordination of all activities in one or more of the key functions in the Care Management Department including Inpatient Care Management, EC Care management, Utilization Management (may also include Social Work). Works collaboratively with multiple disciplines to expedite care coordination functions in assigned areas. Responsibilities include all staff in assigned areas.span Reports to the /span/spanspanCare Management Director./spanbspan/span/bbspan/span/bbspanESSENTIAL DUTIES:/span/bspan span /span/spanspan/spanspanspan1.span /span/span/spanspanGuides staff and works to create and maintain efficient and effective processes to manage the operations of the designated areas within the department./spanspanspan2.span /span/span/spanspanParticipates in, oversees, and assumes responsibility for the development of goals within assigned areas of responsibilities which are congruent with and support Beaumont Health strategic goals./spanspanspan3.span /span/span/spanspanWorks collaboratively with Revenue Cycle and Managed Care Contracting to communicate and understand payer requirements, to optimize payment coordination, and to develop processes and systems to promote timely reimbursement for services rendered to patients./spanspanspan4.span /span/span/spanspanInterviews, hires, disciplines, evaluates, and manages all direct reports. Conducts staff meetings and other forms of communications with staff to maintain standards and consistency within the department./spanspanspan5.span /span/span/spanspanProvides input into the department policies, procedures, objectives, and budget related to area of responsibility that promote organizational and departmental objectives./spanspanspan6.span /span/span/spanspanProblem solves and intervenes with physician, nursing staff, and other ancillary staff to facilitate patient care and resolves barriers to care management functions. Collaborates and coaches staff regarding complex cases, extended length of stay, and payer concerns to provide appropriate direction and follow up./spanspanspan7.span /span/span/spanspanSpecial projectsresentations as indicated./spanspanspan8.span /span/span/spanspanRepresentative/liaison for department/hospital within the community./spanbspan/span/bbspanSTANDARD QUALIFICATIONS/span/bspan/spanspanspanA.span /span/span/spanuspanEducation / Training/span/uspan:/spanspan span/span/spanspan/spanspanspanspan /span/span/spanspanBachelor of Science in Nursing required. Master of Nursing or master's in health care field preferred.span/span/spanbspan/span/bspanspanB.span /span/span/spanuspanWork Experience/span/uspan:u/u/