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Beaumont Health System Mgr, Care Management in Grosse Pointe, Michigan

div divspanspanbspanspanGENERAL SUMMARY:/span/span/b/span/spanspanspanspanspanUnder 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. Reports to the /span/spanspanspanCare Management Director./span/span/span/spanspanspanbspanspanESSENTIAL DUTIES:/span/span/b /span/spanollispanspanspanspanGuides staff and works to create and maintain efficient and effective processes to manage the operations of the designated areas within the department./span/span/span/span/lilispanspanspanspanParticipates 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./span/span/span/span/lilispanspanspanspanWorks 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./span/span/span/span/lilispanspanspanspanInterviews, 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./span/span/span/span/lilispanspanspanspanProvides input into the department policies, procedures, objectives, and budget related to area of responsibility that promote organizational and departmental objectives./span/span/span/span/lilispanspanspanspanProblem 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./span/span/span/span/lilispanspanspanspanSpecial projectsresentations as indicated./span/span/span/span/lilispanspanspanspanRepresentative/liaison for department/hospital within the community./span/span/span/span/li/ol spanspanbspanspanKEY LEADERSHIP COMPETENCIES:/span/span/b/span/span ollispanspanspanspanBuilds Trust/span/span/span/span/li/ol ol start="2"lispanspanspanspanCreates and Communicates Clarity/span/span/span/span/li/ol ol start="3"lispanspanspanspanWorks Collaboratively and Fosters Teamwork /span/span/span/span/li/ol ol start="4"lispanspanspanspanBuilds a Cohesive Team/span/span/span/span/li/ol