Director Care Management

H

Healthcare Recruitment Partners

Director Care Management

Orlando, FL
Full Time
Paid
  • Responsibilities

    Director of Case Management
    Greater Central Florida

    The Director of Case Management leads, manages, and supervises all activities of the Case Management Manager, Team Leads, Case Managers, Social Workers and Case Manager Assistants to ensure appropriate Care Coordination and Care Transition handoffs for all patients. The Director of Case Management provides monthly metric reports and mitigation plans to the Divisional Director of Case Management. The Director of Case Management reports directly to the Divisional Director of Case Management with a matrix reporting relationship dotted line to the CNO. The Director of Case Management works closely with the CNO to implement the Corporate Case Management strategies. The Director meets regularly with the CMO to align Case Management work with Providers and keep the CMOs updated. The Director communicates regularly with the CFO to provide bidirectional communication by keeping the CFO updated on ongoing Case Management initiatives.

    Qualifications:

    • Registered Nurse required
    • BSN required
    • MSN preferred
    • Director of Case Management experience in an Acute Hospital Setting
    • Progressive leadership responsibility
    • ACM or CCM preferred

    Responsibilities:

    • Sustained goals of Case Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Case Management program
    • Directs the daily operations of the Case Management department, including all aspects of Care Coordination, Care Transition and Compliance Guidelines
    • Implements the Corporate Case Management strategies
    • Responsible for providing and or implementing strategies to improve operations and outcomes
    • Determines proactive strategies and methods necessary for a high-performance culture related to Case Management
    • Supports change management and movement toward interaction with outpatient Case Management
    • Assists in the development and oversees the implementation of Case Management policies, procedures, and standards
    • Participates in the development of new staffing and care designs that support system goals while achieving best in class performance
    • Supports standards that are consistent with hospital, community and nationally recognized evidence-based practice
    • Collaborates with C-Suite and other hospital leaders to maintain a collaborative professional relationship to achieve goals
    • Works collaboratively with leaders of Utilization Management to quickly and efficiently address any Case Management or Utilization Management concerns or barriers
    • Escalates operational and/or financial concerns to Physician Advisor(s) as appropriate
    • Determines proactive strategies and methods necessary for a high-performance culture related to Case Management
    • Identifies process improvement opportunities and develops, implements and monitors action plans based upon identified Case Management metrics
    • Educates and mentors facility Case Management staff on interpretation of data and the performance of causal analysis Reports findings to appropriate facility and leaders
    • Achieves positive results for the organization related to investigations of complaints requiring the Director's direct involvement
    • Available for one-on-one meetings with a wide range of stakeholders for education/development and problem – solving
    • Maintains excellent professional relationships with facility and divisional leadership
    • Communicates and collaborates across the facility in the areas of data and information management, Performance Improvement, Care Coordination, Care Transition Management, Medication Management, and Social Services
    • Provides leadership to and actively participates with facility staff to identify, implement, or enhance Case Management programs consistent with System strategy
    • Ensures the facility's Case Management staff are practicing at the highest level of excellence
    • Oversees the effectiveness of the department's recruitment and retention program, taking action as necessary to provide an adequate level of qualified staff
    • Coaches/mentors staff to improve their performance and develop their professional skills
      Identifies leadership talent and actively develops leadership skills in staff
    • Supports diversity objectives of the organization in recruiting and promoting
    • Creates and implements change management strategies and plans that maximize employee adoption and minimize resistance
    • Compiles and reviews budgets and justifications submitted by Case Management Manager
    • Assists the Case Management Manager and Supervisor to develop action plans that address variances
    • Utilizes Management reports to evaluate budget and staffing variations
    • Assists Case Management Divisional Director with operating budget for Case Management

    Additional Knowledge:

    • Understanding of medical necessity for appropriate patient status and level of care
    • Understanding of Care Management best practices
    • Ability to research and reason best practices to support process improvement
    • Strong verbal and electronic communication skills
    • Ability to analyze, evaluate and monitor data in addition to provide action plans
    • Supports positive employee relations and customer experience
    • Understanding of Microsoft Office Products and other appropriate software platforms
    • Understanding of CMS Conditions of Participation for Discharge Planning
    • Understanding of Managed Care and Value Based Programs
    • Ability to work autonomously with self-direction
    • Ability to work as a collaborative partner of a diverse leadership team
    • Ability to lead and sustain change
    • Knowledge of change management principles, methodologies, and tools

    The Case Management Director has full accountability and oversight for the overall operations of the Case Management department, including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social Services, Readmission Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team member evaluations and customer experience.

    For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.

    If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.

    Michelle Boeckmann | President Case Management Recruitment
    Direct Dial 615-465-0292

    Michelle@HCRecruiter.com
    https://www.HealthcareRecruitmentPartners.com
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