H. Lee Moffitt Cancer Center

Tampa, FL

ID: 7119032 (Ref.No. hlj_42407)
Posted: December 26, 2022
Application Deadline: Open Until Filled

Job Description

Job Summary:

The Manager of Case Management has overall responsibility for operational management of the Case Management Department including staffing, budgets and plans. Responsibilities include compliance with relevant policies including Case Management and Discharge  Policies; implementing and revising the UM Plan and promoting cooperation with utilization review standards by the medical staff; maintaining/facilitating communication between the case management department and the physician advisor and healthcare staff regularly regarding UR and/or quality issues; analysis of reports on length of stay, avoidable days, disputes, InterQual and other associated metrics. This role also includes the management and development of the Care Coordination role.

Qualification and Experience required.

Bachelor's Degree in Nursing ( BSN) is required and Masters is preferred.

State of Florida Registered Nurse ( RN) is required or eligible for RN license before start date is required.

Case Management Certification in ACM, CCM or oncology Nursing Certification is highly preferred.

Must have minimum of five (5) years of clinical experience in case management and utilization review .oncology nursing staffing and scheduling management, staff development and personnel management and budget management is preferred.

  • Collection and maintenance of data with preparation of reports produced by the Case Management   
  • Department. i.e. avoidable day reports; readmission reports; utilization review reports, ALOS (facility  and unit specific reporting).
  • Supports the Utilization Review function within the Medical Records committee reporting structure.
  • Obtains, analyzes and disseminates data relevant to patient flow and utilization review.
  • Ensure that the team receives adequate education and supplies to manage their workflow
  • Serves on or leads committees and team that support patient flow, regulatory compliance and any other area relevant to Case Management

    Mission To create a Moffitt culture of diversity and inclusion as we strive to contribute to the prevention and cure of cancer. Vision Moffitt Cancer Center is recognized as the model wherein the diversity of our employees and communities is valued and supported as essential components to contributing to the prevention and cure of cancer. The cancer center is an equal opportunity employer. It is the policy of the cancer center to prohibit unlawful discrimination and harassment of any type and to afford equal employment opportunities to workforce members and applicants, regardless of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, marital status, disability, genetic information, veteran’s status or any other characteristic protected by federal, state or local law.