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Case Management Manager
full-timeUnited States

Summary

Location

United States

Type

full-time

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About this role

Job Description​

Become an integral component of the Capacity Leadership Team for the Health System while owning primary oversight for Case Management at Saint Luke's East Hospital in your new role as Case Management Manager!

  • Full-Time; Days position!

  • Responsibilities include: managing designated aspects of care coordination, prior authorization, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital, and to minimize patient liability.

  • Candidates will need either a BSN or Master's Social work, 5+ years Case Management experience, 2+ years of leadership experience and either an RN license, LCSW or MSW to be considered!

  • Candidates with prior inpatient Case Management experience as well as experience in an Acute Care Hospital setting preferred!


This position reports directly to the Vice President of Patient Progression. 
This position is responsible for the management direction and coordination of Case Management and Social Work components that comprise the Care Progression Department. The Manager plans, directs and implements all services related to case coordination, concurrent review, and utilization management programs, ensuring compliance with TJC, state and other regulatory agencies. 
Responsibilities include but are not limited to: 
•    Managing designated aspects of the case coordination, prior authorization, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital, and to minimize patient liability
•    Serving as an escalation point for complex discharges 
•    Managing individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. 
•    Ensuring that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership
•    Developing and adhering to departmental staffing, revenue and/or expense budgets
•    Responding to changes in the business which may affect the ability to achieve the budgets goals
•    Adjusting programs to support the needs of the target patient population
Education
•    Bachelor's Degree Nursing or Master’s Social Work 
Experience
•    5-10 years
Leadership Experience
•    2-5 years
Licenses & Certifications
•    RN/LCSW/MSW

Job Requirements

Applicable Experience:

Job Details

Full Time

Day (United States of America)

The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

Other facts

Tech stack
Case Management,Care Coordination,Clinical Documentation,Utilization Management,Leadership,Prior Authorization,Concurrent Review,Performance Evaluation,Budget Management,Patient Care,Regulatory Compliance,Team Management,Professional Development,Escalation Management,Operational Goals,Financial Management

About Saint Luke's Health System

About Saint Luke’s Health System
Saint Luke’s serves the West Region of BJC Health System as a faith-based, nonprofit, aligned health system committed to providing the highest levels of excellence in compassionate health care and health-related services. Saint Luke’s cares for patients in 65 specialty services across 67 counties in Missouri and Kansas. Saint Luke’s Hospital has been recognized by U.S. News & World Report as one of the elite hospitals in the nation. For more than 140 years, Saint Luke’s has been dedicated to enhancing the physical, mental, and spiritual health of the diverse communities we serve.

Saint Luke’s offers:

  • The region’s longest continuously operating adult heart transplant program and one of the nation’s leading cardiovascular programs at Saint Luke's Mid America Heart Institute
  • Treatment for complex brain and spinal cord diseases and one of the nation’s leading stroke reversal programs at the nationally ranked Saint Luke’s Marion Bloch Neuroscience Institute
  • The region’s only treatment center dedicated exclusively to treating metastatic breast cancer—the Koontz Center for Advanced Breast Cancer at Saint Luke’s Cancer Institute
  • Saint Luke’s Convenient and Urgent Care clinics for treatment of minor illnesses and injuries
  • Liver and kidney transplantation programs
  • A comprehensive maternal-fetal diagnostic and treatment center
  • Three Neonatal Intensive Care Units, including a Level IIIb NICU at Saint Luke’s Hospital of Kansas City
  • Saint Luke’s Rehabilitation Institute, the only comprehensive inpatient rehabilitation hospital of its kind in the region
  • A nationally recognized children's behavioral health center, Saint Luke’s Hospital Crittenton Children’s Center
Team size: 10,001+ employees
LinkedIn: Visit
Industry: Hospitals and Health Care

What you'll do

  • The Case Management Manager oversees case coordination, prior authorization, clinical documentation, and concurrent review programs to maximize reimbursement and minimize patient liability. This role also includes managing staff, ensuring compliance with regulations, and adjusting programs to meet departmental goals.

Ready to join Saint Luke's Health System?

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Frequently Asked Questions

What does a Case Management Manager do at Saint Luke's Health System?

As a Case Management Manager at Saint Luke's Health System, you will: the Case Management Manager oversees case coordination, prior authorization, clinical documentation, and concurrent review programs to maximize reimbursement and minimize patient liability. This role also includes managing staff, ensuring compliance with regulations, and adjusting programs to meet departmental goals..

Why join Saint Luke's Health System as a Case Management Manager?

Saint Luke's Health System is a leading Hospitals and Health Care company.

Is the Case Management Manager position at Saint Luke's Health System remote?

The Case Management Manager position at Saint Luke's Health System is based in United States, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the Case Management Manager position at Saint Luke's Health System?

You can apply for the Case Management Manager position at Saint Luke's Health System directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Saint Luke's Health System on their website.