Registered Nurse (RN) - Care Manager - $40-61 per hour

ChristianaCare is seeking a Registered Nurse (RN) Care Manager for a nursing job in Wilmington, Delaware. Job Description & Requirements Specialty: Care Manager Discipline: RN Duration: Ongoing Employment Type: Staff Nurse Manager - Case Management Day Shift (Hours: 8a-4:30) No Weekends or Holiday Wilmington, DE ChristianaCare Wilmington Hospital is looking for an energetic, motivated Nurse Manager for our Case Management Department to manage the daily operations of the Care Management department staff and to provide effective and efficient discharge planning services to patients in accordance with policies, procedures, regulatory requirements consistent with CCHS. SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS: Daily contact with Physicians, Case Managers, Patient Financial Services, HIMS, and Managed Care Organizations. Frequent contact with the nursing department, ancillary departments, healthcare and referring community facilities and agencies. Regular communication with Directors, Physician Advisors, and Social Work. Primary Responsibilities: Manages daily operations of the Care Management Team and Serves as an expert resource or staff and Christiana Care leadership related to care management functions . Evaluates and provides feedback/recommendation of information technology software that allows for comprehensive, longitudinal care management of an identified population of patients. Facilitates the development of care management guidelines, algorithms, and protocols. Develops and implements applicable care management processes, policies, and procedures. Prepares and reviews annual performance appraisals with employees. Develops systems and processes to effectively manage collaborative relationships with external third-party payers. Identifies areas of potential compliance risk and develops strategies to mitigate risk in collaboration with the Compliance Officer and staff. Maintains strong working relationship with compliance office and staff and actively engages in all compliance activities as requested. Assists in the preparation of the annual operating and capital budget. Develops processes for the accurate capture of data to maintain a care management dashboard reflective of key performance measures. Collaborates with Data Informatics team to analyze data and makes recommendations for program development/changes based on data analysis. Collaboration with the key internal stakeholders, develops and implements processes, policies & procedures to manage the transition of patients effectively and efficiently in accordance with state, federal and payer standards and regulations. Demonstrates knowledge of local, state, and federal reimbursement guidelines. Coordinates and facilitates dept meetings. Maintains a collaborative professional relationship with clinicians and administrative staff to develop, implement, and evaluate successful process outcomes. Collaborates with Physician Advisors as needed. Performs assigned work safely, adhering to established departmental safety rules and practices reports, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors. Performs other duties as assigned. Education, Experience & Leadership Requirements: Delaware RN License or compact state RN License Bachelor’s degree required. MSN or MBA preferred. Five years' experience in Case Management in an Acute Care hospital setting is preferred. Three years supervisory/management experience preferred. All candidates must be able to maintains required documented hours of relevant continuing education related to licensure requirements. An equivalent combination of education and experience may be substituted. Physical Demands: Ability to ambulate with the hospital setting. Sitting, standing and lifting loads of 5-10 pounds Ability to utilize computer equipment. Working Conditions: Frequent travel to multiple sites as needed. Occasional exposure to office materials. Normal office environment. ChristianaCare Job ID JR69741. Posted job title: Nurse Manager - Care Management About ChristianaCare Delivering health, not just healthcare, is our promise to our community. Which means you can be part of an organization that makes a difference in a big way by impacting the lives of other caregivers and people who live in the places we serve. From our clinical providers to our logistical support team, everyone here delivers care to our community through their roles. We are an organization that puts patients first. Our delivery of care and commitment to being excellent today—and even better tomorrow—make us who we are: caregivers who deliver more than healthcare. We invite you to join us in our quest for excellence. Benefits Holiday Pay Guaranteed Hours Continuing Education 403b retirement plan Pet insurance Cancelation protection Wellness and fitness programs Mileage reimbursement Employee assistance programs Medical benefits Dental benefits Vision benefits Benefits start day 1 License and certification reimbursement Life insurance Discount program