Senior Clinical Operations Manager

4 weeks ago

Toronto, Ontario, Canada Kindred Hospital Ontario Full time

We are seeking a seasoned professional to lead our clinical operations team at Kindred Hospital Ontario.

Job Summary

The Senior Clinical Operations Manager will be responsible for providing strategic leadership and operational oversight of the Case Management and Utilization Management activities in our hospital. This individual will serve as a subject matter expert, mentor, and preceptor to staff, performing staff education related to resource utilization, discharge planning, and psychosocial aspects of healthcare delivery.

This role requires a strong understanding of healthcare regulations, policies, and procedures, as well as excellent communication and collaboration skills. The ideal candidate will have a proven track record of success in leading teams and improving patient outcomes.

Key Responsibilities

  • Serves as a subject matter expert in the daily coordination of patient care to facilitate development, monitoring, and refinement of treatment plans.
  • Works with the Director of Case Management to ensure areas of responsibility are operating in compliance with CMS, State, and JCAHO regulations and standards and with Kindred policies, including documentation and record requirements.
  • Coordinates clinical and/or psychosocial activities with the Interdisciplinary Team and Physicians.
  • Monitors all areas of patients' stays for effective care coordination and efficient care facilitation.
  • Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial, and legal issues that affect patients and providers of care.
  • Appropriately refers high-risk patients who would benefit from additional support.
  • Serves as a patient advocate and enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
  • Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served.
  • Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education, and identified post-hospital needs.
  • Coordinates with interdisciplinary care teams, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.

Requirements

  • Graduate of an accredited program required; BSN preferred.
  • Master of Social Work with licensure as required by state regulations or Bachelor of Social Work with licensure as required by state regulations.
  • Healthcare professional licensure required as Registered Nurse, Licensed Clinical Social Worker (LCSW), or Licensed Social Worker (LSW) if required by state regulations.
  • Certification in Case Management preferred.
  • Two years of experience in a healthcare setting preferred, preferably acute or LTACH.
  • Prefer prior experience in Case Management, Utilization Review, or Discharge Planning.

Salary Range

$50.83 - $64.46 per hour.

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