Case Management Program Manager

The Clinical Case Manager: Program Manager is responsible for overseeing the planning, implementation, and evaluation of case management operations to support efficient patient flow, optimal Length of Stay (LOS), and reduction of avoidable days. This role ensures that care coordination processes meet quality, regulatory, and financial standards while promoting high-quality, patient-centered care. The Program Manager provides leadership, training, and operational oversight to the case management team and collaborates closely with interdisciplinary partners to improve throughput across the continuum of care.

• Assist in development, implementation and evaluation of services, programs, policies and procedures, and performance standards to

• achieve goals.

• Assist in the development, evaluation and implementation of new ventures, services and partnerships.

• Create project plans with milestones, deliverables, and accountability assignments.

• Implement strategic initiatives through management of day to day program operations; troubleshoot operational issues and develop action plans to resolve.

• Collaborate on significant operational/issues/barriers.

• Prepare documentation and projections to support the operating and capital budget planning process.

• Evaluate and recommend purchase of new equipment needed to maximize productivity and quality of care.

• Implement actions to facilitate meeting budget requirements and administer programs within budgetary guidelines.

• Monitor monthly performance reports and budget variances and resolve discrepancies as needed.

• Evaluate reimbursement and denial trends and develop and implement action plans to address issues.

• Understand key financial and budgetary principles and apply and incorporate them into management planning and decision making.

• Understand organization's business environment (e.g. regulatory bodies, strategic alliances, community partnerships, etc.).

• Develop and continually monitor budgets, fiscal performance and resource allocation.

• Anticipate future strategic, operational and financial trends and consequences in the market place.

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

• Energize stakeholders and sustain commitment to change in approaches, processes and strategies.

• Maintain a positive environment during the course of change, remaining alert to issues.

• Use analysis, judgment, and experience to identify the root causes of problems and develop appropriate strategies to resolve.

• Partner in the mission and upholds the core principles of the organization

• Committed to diversity and recognizes value of cultural ethnic differences

• Demonstrate personal and professional integrity

• Maintain confidentiality at all times

• Anticipate and responds to customer needs; follows up until needs are met

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

• Use resources efficiently

• Search for less costly ways of doing things