Manager Of Translational Care (Murrells Inlet, SC)

Responsibilities: Position Summary: The Care Translational Manager fosters a comprehensive, cohesive, and coordinated approach to the care of patients across the entire spectrum of healthcare services delivery. The Manager provides leadership in developing, planning, organizing, implementing, and evaluating continuum of care services to maximize value. The Manager is responsible for the interdisciplinary patient care across the care continuum, with an emphasis on outpatient care and care transitions, for patients in value-based programs. This position requires expertise in a systems approach to problem solving, using critical thinking skills and knowledge of community resources to plan and coordinate care. This position has the responsibility of successful execution of the CCM, TCM and other related programs, as well as collaboration with Tidelands Health Inpatient Case Management, ED, Post-Acute Care and Primary Care teams to ensure alignment and coordination of programs and services across the continuum for Tidelands Health patients.
The Care Translational Manager is responsible for programs focused on chronic disease management (CCM), care plan development and facilitation, patient satisfaction, and provider education. The role functions as an integral part of an interdisciplinary team, ensuring excellence with transitions of care to achieve optimal clinical outcomes through a seamless model of access and care. Focus on improving the health status and care for individuals with chronic conditions with complex medical, mental health and psychosocial issues.
Clinical Nursing Responsibilities:

• Implement care models designed to capture high risk participants needing focused services
• Exceptional core customer service skills for participant engagement
• An ability to take the information from all assessments to establish a plan of care
• Coordinate and facilitate timely implementation of assessments, care plans, and appropriate interventions for identified patient population to determine patient health, social situation, physical environment, mental health, substance use, expressed trauma, economic status, and education to patients while exercising discretion and independent judgment; following established policies and procedures.
• Provide individual treatment to address barriers and identified concerns by accessing systematically identified data from multiple sources such as patient medical records, claims, and program metric reports to target recipient(s) and provider(s) for outreach, education, and intervention. Perform targeted interventions to assist patients with connection to primary care providers and other health care resources.
• Involve the patient and their support systems (i.e. caregiver, family, etc.) in the decision-making process. Use a patient-centric, collaborative partnership approach to assist the patient with improved self-management and identifying barriers by addressing the total individual, inclusive of medical, psychosocial, behavioral, and spiritual needs.
• Electronically document all activity in eCW, and other documentation systems relevant to the position.
• Communicate and coordinate with all provider(s) and member(s) of the care team as needed to minimize fragmented care and foster appropriate utilization of services. This will include, navigating transitions of care generally from hospital to home or community facilities.
• Provide telephonic outreach to patients, providers, and community stakeholders assisting with identification of treatment history, diagnoses, and patient care components both internally and externally of the organization
• Develop and maintain positive relationships with customers internal and external to Tidelands Health.

QUALIFICATIONS
Experience:

• A minimum of (3) years nursing experience required.
• Analytical and problem solving/decision making skills with the ability to be innovative is required.
• Knowledge of Outpatient Ambulatory Services preferred.
• Minimum 2 years leadership experience in nursing and/or human resource management preferred.
• Experience managing teams, facilitating work groups, implementing care strategies, proactively implementing strategies, and project management

Education:

• Minimum of a Bachelor of science in nursing

Licensure/Certification:

• Current and in good standing RN Licensure with South Carolina Board of Nursing.
• American Heart Association Healthcare provider course with Basic Life Support (BLS) certification required to be initially completed with the TH Organizational Development Office within 30 calendar days of hire date (exceptions to obtain certification from a provider other than the TH Organizational Development Office are approved by TH Organizational development on a case-by-case basis). BLS Recertification is required every two years.
• Certification in case management preferred

Knowledge/Skills/Abilities:

• Ability to work independently, adjust priorities often and establish rapport quickly.
• Demonstrated experience in diplomacy and ability to contribute to team goal setting and program development.
• Proficient PC skills and experience of Windows and Microsoft office programs required.
• Strong interpersonal and communication skills.
• Effectively coordinates programs with existing services.
• Participates in quality improvement activities.
• Create an environment for open communication with healthcare professionals from multiple specialties.

Physical Requirements: Light Physical Agility Test (PAT) RatingWhile performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.