Registered Nurse (RN) - Case Management - $31+ per hour New

Detroit Medical Center is seeking a Registered Nurse (RN) Case Management for a nursing job in Hamtramck, Michigan.

Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Duration: Ongoing
• 36 hours per week
• Shift: 12 hours
• Employment Type: Staff

The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital.

DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services.

DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan.

Summary Description

The Group Director, Case Management will perform the functions necessary to support and advance Tenet’s Case Management strategy. Will support the advancement of Case Management as a leader, mentor, and consultant. Will execute on the strategic plan and will provide subject matter expertise for Case Management regulations and standards, including ensuring compliance with all state and federal regulations. Will ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient throughput. Includes integration of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction. Further, includes care coordination by demonstrating throughput efficiency while assuring care is the right sequence and of the appropriate level. Will serve as an information resource, and will work in collaboration with physicians, allied health professional administrators, corporate, finance department staff, supply chain staff, vendors, and individual internal and external to the Detroit Medical Center.

Essential/Primary Duties:
• Lead and facilitate group hospital Directors of Case Management performance for Level of Care, Length of Stay, and Payer Authorizations
• Establish goals and objectives that support overall strategic plans of the Case Management and Utilization Review strategy
• Lead Group hospital Case Management and Utilization Review operations for cost-effective and clinically sound care delivery including the Tenet Case Management model, staffing and skill mix, complex Case Management, and centralized utilization review
• Participate in new hospital Director of Case Management selection and lead the orientation and onboarding processes
• Maintain objectivity in decision making, utilizes facts to support decisions
• Anticipate and responds to problems and risks
• Communicate effectively with all levels in the organization and with internal / external customers
• Direct, support, and coach direct reports
• Develop “experts” and “expertise” throughout the department and seeks employee input
• Minimize staff turnover
• Lead implementation and monitoring of Tenet Case Management policy and regulatory requirements
• Review weekly Case Management Scorecard Continuing Care (CC) and Utilization Review (UR) metrics, Observed / Expected Length of Stay, Authorizations and Downgrades
• Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement
• Manage department operations to ensure effective throughput and reimbursement for services provided
• Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy
• Ensure timely and effective patient transition and planning to support efficient patient throughput
• Implement and monitor processes to prevent payer disputes
• Develop and provide physician education and feedback on hospital utilization
• Participate in management of post-acute provider network
• Ensure compliance with state and federal regulations and The Joint Commission accreditation standards
• Use strong communication skills, oral and written, to effectively convey new programs, policies, and processes needed to affect change successfully
• Maintain safe environment
• Participate in Performance Improvement activities

Qualifications:

Minimum Qualifications

1. Bachelor’s degree in business, nursing or health care administration required. Advanced degree in business, nursing and/or healthcare administration, health science or related discipline preferred
2. A minimum of 5 years of experience in hospital revenue cycle function. Five (5) years in hospital Case Management Leadership required. Multi-site hospital case management leadership experience preferred. Business planning and project management experience preferred.
3. Registered Nurse or LCSW/LMSW license; or relevant experience as approved by VP of Case Management required. Accredited Case Manager ACM) preferred.

Skills Required

1. Analytical ability to serve in an advisory/consultative role in determining and/or developing strategies, policies, processes, protocols and methods, frequently in the absence of guidelines or technical assistance, and to evaluate and direct complex systems that foster innovative approaches to procedures/processes on a system-wide basis.

2. Communication and interpersonal skills for frequent contact with internal customers as well as stakeholders external to the DMC to persuade or negotiate on a wide range of subjects in situations which may be controversial, sensitive and/or lead to confrontation. A mastery of a variety of communication modalities is required to include leading meetings, making formal presentations, and writing complex documents and managing complex relationships over time.

3. Project management skills including the ability to define program, project, or process objectives, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological and fiscal resources to accomplish goals and objectives in a resourceful yet timely manner.

4. Leadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support.

5. Technical knowledge of community resources, regulatory requirements, reimbursements and utilization management procedures in order to function as a resource for staff.

Job: Managers and Directors Primary Location: Detroit, Michigan Facility: Detroit Medical Center Shared Services Job Type: Full Time Shift Type: Day

Detroit Medical Center Job ID #4​3​6​9​-​2​5​0​6​0​0​0536-2. Posted job title: Group Director Case Management

About Detroit Medical Center

The Detroit Medical Center (DMC) is the leading academically–integrated hospital system in Metro Detroit, and one of the largest health care providers in Southeast Michigan. During our 150+ years of caring for the community, we have been recognized nationally with top awards in many aspects of hospital operations and patient care. The DMC is able to achieve these awards because of our exceptional employees.

The Detroit Medical Center is one the largest academic medical centers in the United States, with a long and rich history of medical education, for more than 100 years. We train more physicians than any other hospital in Detroit.

Our evidence-based approach inspires confidence and spurs innovation. It ensures that we are making treatment decisions based on our experience, on the best available research and our understanding of each patient as an individual.

Our commitment to our patients

Our commitment to patient care and improving patient outcomes is part of everything we do. It’s our mission. It’s our promise to every patient and every family who entrusts their care to us.

To meet the needs of our community, we operate 8 hospitals and more than 140 clinics and outpatient facilities across southeast Michigan, including a nationally recognized dedicated pediatric hospital (Children’s Hospital of Michigan) as well as a nationally recognized rehabilitation hospital (Rehabilitation Institute of Michigan). We offer an inclusive, diverse and supportive environment. Knowing that we are better together, our teams are highly collaborative and integrated to deliver the high quality and compassionate care our patients expect and deserve. Staff members have a voice in forming our culture; one that is often referred to as “my forever family” and “colleagues who have my back”. 

The DMC has a proud legacy of caring for the people and the families that call Metro Detroit home; they’re our neighbors, our friends, and our community. That’s why the DMC serves everyone in the community who needs us; no one gets turned away who comes to us for care. From local food drives to our long-standing commitment to educate and empower our community towards better health, you can count on the DMC. There’s a spirit of caring and togetherness that you will experience when you join the DMC family. We are a community build on care.

At the DMC, we are committed to maintaining an environment of Equal Opportunity and Affirmative Action. If you need a reasonable accommodation to access the information provided on this web site, please contact the DMC facility where the position is available, for further assistance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or status as an individual disability.

Employee Benefits

At the DMC, health and well-being are important to us, so we provide a range of benefits and options to help meet the needs of all eligible employees. In addition to a range of healthcare plans, including higher and lower deductible options, we offer dental, vision and an employee assistance plan. Basic life insurance and Accidental Death and Dismemberment insurance are provided for free to eligible plan members. Employees can also choose to participate in one of several supplemental life insurance and/or disability plans, a legal services plan and an identity protection plan. For those employees who are looking for support to care for family members, we also offer child and elder care programs.

To help employees prepare for retirement, we offer a 401K savings plan, and an employee discount plan that includes discounts for a wide variety of products, including auto and home insurance and mobile plans.

Benefits

• Medical benefits
• Dental benefits
• Vision benefits
• Employee assistance programs
• Life insurance
• Discount program