RN Manager - Care Coordination

Pay Range:$50.14 - $70.35

This position oversees the coordination of inpatient care, Case Management/Discharge Planning, and Social Services for Mt. Edgecumbe Medical Center (“MEMC”). The Manager leads a team of Care Coordinators, Social Workers, and Inpatient Care Coordinator Technicians by providing leadership, managing operations, and ensuring quality of care.

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Key Essential Functions and Accountabilities

· Provide team leadership and supervision while fostering a collaborative and supportive environment.

· Manage daily assignments and schedules to ensure a balanced workload.

· Mentor new staff and provide ongoing team training as needed.

· Build and cultivate relationships with post-acute providers through active participation in community networking.

· Ensure quality of care provided by the team; monitor performance and implement changes to improve service delivery and efficiency.

· Collaborate with leadership to implement new strategies, set goals, and align departmental operations with the organization’s mission and vision.

· Support case managers and social workers in resolving complex cases and ensuring timely access to appropriate resources.

· Meet and exceed departmental service expectations; develop action plans to achieve established goals. Identify areas for improvement and implement corrective actions and education.

· Work closely with the Utilization Review (UR) team to maximize revenue while maintaining compliance with regulations. This includes knowledge of Medicare, Medicaid, and other third-party payers.

· Collaborate with administration to ensure appropriate hospital resource utilization. Internal coordination includes SEARHC Primary Care Clinics and Long-Term Care facilities; external coordination includes tertiary care, assisted living, and psychiatric facilities.

· Direct the Care Coordination Department to ensure safe, efficient, and effective use of hospital services and facilitate timely discharges.

· Maintain compliance with all regulations.

· Participate in the development and implementation of departmental policies and procedures; monitor for consistency and compliance.

· Oversee care coordination processes to ensure timely, appropriate patient progression and discharge planning

· Collaborate with the System Director to review and revise workflows and procedures to optimize resources and enhance customer service.

· Monitor quality measures; collect and analyze data to improve service utilization and support service effectiveness.

· Ensure timely and appropriate documentation of services and progress consistent with care plans.

· Conduct internal audits to ensure compliance with organizational, state, and federal regulations.

· Coordinate with internal and external stakeholders, including primary care, long-term care, assisted living, and tertiary

· Promote efficient hospital resource utilization and patient throughput

· Collaborate with the Utilization Review (UR) team to ensure appropriate level of care, maximize reimbursement, and maintain regulatory

· Collaborate with leadership to establish departmental goals and align services with organizational priorities

· Participate in the development, implementation, and monitoring of policies and procedures

· Analyze data and trends to improve service delivery, efficiency, and patient outcomes.

Additional Details:

Education, Certifications, and Licenses Required

· Bachelor’s degree from an accredited institution required; advanced degree preferred.

· Current, unrestricted Registered Nurse license in Alaska or another U.S. state required.

· Direct hires must apply for an Alaska RN license prior to the start date.

· Agency staff must hold an active Alaska RN license.

· Licensed Vocational Nurse (LVN) in Alaska or another U.S. state may be considered.

· Same licensing requirements apply as above.

· High school diploma or equivalent required.

· Clinical Competency required within 3 months of hire and every three years.

· Manager Competency required within 3 months of hire and every three years.

· ACMA Certification preferred.

Experience Required

· Minimum of 5 years of discharge planning experience.

· Previous management experience in supervision or administration required.

· Experience in a Critical Access Hospital model preferred.

· Minimum of 5 years of clinical experience.

· Experience in performance improvement preferred.

Knowledge of

· Post-acute care resources and Medicare/insurance coverage.

· Healthcare systems and federal/state regulations.

· Admission and discharge processes.

· Relevant regulations, best practices, and data management systems.

· Deadline responsiveness, assertiveness, persistence, and persuasiveness.

· High proficiency in problem identification and care plan development.

Skills in

· Strong interpersonal, organizational, evaluative, and time management skills.

· Policy interpretation and familiarity with applicable standards and regulations.

· Effective provider communication and behavior change strategies.

· Expert-level communication and change management skills.

Ability to

· Apply and interpret admission and continued stay criteria.

· Organize tasks to accomplish hospital goals and objectives.

· Work professionally with physicians, external agencies, and support staff.

Position Information:

Work Shift:Exempt

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!