U

University of Mississippi Medical Center

Academic medical center

Manager Case Management - RN, Coordinated Care

Medical, Clinical & VeterinaryUpdated on Nov 7
Full-timeJackson, MS, USANo salary listedIn-person

About the Job

Requirements

  • Four years of nursing experience in case management, utilization review, utilization management, or discharge planning, including one year of nursing leadership experience.
  • A valid Registered Nurse license.
  • Certified Case Manager certification from the Certified Case Management Commission and Accredited Case Manager certification from the American Case Management Association.
  • Knowledge of utilization review, discharge planning, case management, and managed care reimbursement.
  • Working knowledge of medical procedures, diagnoses, and coding systems, including ICD-10, CPT, and DSM-IV.
  • Ability to analyze data, prepare reports, identify process improvements, and apply medical necessity guidelines consistently across a team.
  • Proficiency using computers and related software applications.
  • Ability to communicate verbally and in writing, negotiate, collaborate, and exercise sound judgment.

Responsibilities

  • Determine staffing needs, establish required qualifications and skill sets, and participate in hiring activities with administration and other stakeholders.
  • Coordinate departmental activities by scheduling work assignments, establishing priorities, and directing case managers' work.
  • Identify key competencies for case management staff and develop processes to assess competencies from hiring through ongoing performance evaluations.
  • Evaluate employee performance by reviewing work assignments, outcomes, and work practices.
  • Provide daily supervision, including hiring support, workload determination, assignment delegation, training oversight, coaching, performance evaluation, and data collection and reporting.
  • Coach and mentor staff to support professional development within the department.
  • Develop and communicate work instructions and assist staff with complex or unusual assignments.
  • Document findings, plans, and actions according to departmental guidelines and standards; track and analyze data to evaluate benchmarks and performance metrics.
  • Promote efficient resource utilization by identifying and removing barriers that affect team productivity.
  • Serve as a resource for resolving complex patient placement issues.
  • Support ongoing staff development activities in collaboration with the department director.
  • Provide backup coverage for case managers as needed to maintain departmental goals and operational continuity.

About the Company

University of Mississippi Medical Center is Mississippi’s public academic medical center and health-sciences university. The institution operates hospitals, clinics, professional schools, research programs, and statewide health initiatives. It serves patients, students, families, clinicians, researchers, and communities throughout Mississippi. Its operating model centers on clinical care integrated with education, research, public service, and centralized university operations. Teams work across nursing, physicians, allied health, research, education, technology, facilities, and administration. Work depends on coordination among clinical, operational, technical, and support teams across its care settings and communities.

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