Job Description

Join Our Behavioral Health Team – Where Innovation Meets Compassionate Care

Are you passionate about making a meaningful impact in behavioral health? Our department stands out for its innovative, patient-centered approach and unwavering commitment to compassionate care. We are currently seeking a dedicated Care Manager to join our dynamic team.

Why Choose Capital Region's Behavioral Health Unit?

• Professional Growth:  We invest in your future with robust continuing education support—both internal and external—tailored to your career goals.
• Collaborative Culture:  Our team thrives on interdisciplinary collaboration, open communication, and a shared mission. We celebrate each other’s contributions and foster a true sense of belonging.
• Employee Wellness:  We prioritize the well-being of our staff by promoting mental health resources, strong EAP services, and a healthy work-life balance in a supportive environment.
• High Reliability Organization (HRO) Journey:  As part of our commitment to excellence, we are transforming into a High Reliability Organization, embracing new practices and tools that elevate the quality of care for our patients—and each other.

If you’re looking for a workplace that values innovation, teamwork, and professional development, we invite you to be part of our journey.

Apply today and help us shape the future of behavioral health care.

Job Description

Hours: 8am- 4:30pm. May require some flexibility on the weekends. 

General Summary

Manages the daily operations of the department to include Care Management, Discharge and Transition Planning, and Utilization Management in accordance with regulatory requirements and the needs of the organization. Assumes responsibility for optimal clinical and financial outcomes across provider lines and systems in conjunction with all members of the healthcare team.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

Supervision

1. Regularly observes staff members in the performance of their duties to evaluate efficiency, skill, abilities, and attitudes toward coworkers and patients/customers; recommends appropriate corrective actions and performance evaluations. Maintains a consistent environment where employees are encouraged, reinforced, and supported in their desire to contribute fully.
2. Maintains ongoing communication with staff to maintain institutional and departmental goals and encourages staff participation and communication in decision-making.
3. Monitors reasons for reduction in patient satisfaction, re-admission and discharge appeals and reports trends to the Director.
4. Makes recommendations for personnel transfer, promotion, and specialized training to insure effective utilization of individual skills and employee development.
5. Serves as a resource for the staff providing expertise and guidance with regard to clinical activities.
6. Participates in departmental staff meetings to provide updates on regulatory changes, standard changes, problem identification and other appropriate matters.
7. Demonstrates ability and willingness to perform in-service education and development of staff and interdisciplinary teams. Maintains knowledge base to present accurate/current information.
8. Effectively participates in the development, revision, implementation, and communication of policies and procedures and standards for the staff in accordance with hospital and department policies and procedures

Program Development & Maintenance / Performance Measurement

1. In collaboration with director, maintains an effective, organized care management program and interdepartmental programs that assure compliance with federal and state regulatory policies for hospital services of various regulatory agencies (PRO, Joint Commission, CMS and Department of Health and Mental Hygiene). Assist to establish program goals and objectives consistent with the hospital’s mission and vision
2. Prepares and coordinates care management activities. Diplomatically negotiates with diverse groups of people in an exchange of information to provide regular reports.
3. Responsible for oversight of day-to-day operational procedures related to Care Manager data collection, patient through-put, and discharge planning. Assists to create, develop and trend reports of care management; collaborates with the Director to analyze and presents findings to leadership.
4. Collaborates with director in administrative planning and program development activities.
5. Monitors activities related to internal and external customers, e.g. nursing home, rehabilitation facilities, home health agencies, hospital outpatient services, etc., to achieve optimal customer relations while trying to assure reimbursement for hospital services.
6. Meets regularly with the Physician Advisor to exchange information, problem solve and maintain rapport.
7. Provides ongoing information to the Director regarding the programs, department, hospital wide activities, screening elements, communication from regulatory agencies and identified problems as appropriate
8. Collaborates with insurer groups to negotiate best options for patient care within insurer guidelines, including negotiating with the insurance company to consider out-of-network resource support or flexing of benefits where appropriate.
9. Exhibits responsiveness to all staff in the hospital and in other organizations. Functions as a representative of the Care Management Department with Administration and external agencies as requested by the Director.
10. Identifies opportunities for improvement in hospital systems, care provider practice patterns, patient/family/staff satisfaction, and resource utilization.
11. Other duties as assigned.

Qualifications

1. Education and Experience

• Required:
  • BS in Nursing with a Current RN license in State of Maryland
  • OR LCSW in the State of Maryland
  • Minimum 5 years Case Management experience, which includes at least 2 years progressively responsible supervisory experience.
• Preferred:
  • Master’s degree (Preferred) 

 

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range: $42.64-$64

Other Compensation (if applicable):

Job Tags

Full time, Flexible hours, Weekend work,

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