VP of Care Management Operations
Orange County, Florida

The VP Care Management Operations provides leadership and direction to campus operators related to the translation of strategy into Care Management initiatives and clinical priorities. The VP works collaboratively with physician leadership to lead strategy related to Care Management ensuring stakeholder inclusion and alignment. The Vice President of Care Management is responsible for strategic planning and outcomes related to patient throughput via Care Management and transition planning to post-acute settings. The VP has executive oversight for the Care Management model and strategy, education and regulatory alignment, referral management and complex transitions including the complex care team and readmission strategy. The VP develops and executes operational strategies built to ensure the Care Management strategy is aligned with regulatory requirements, organizational goals and forward thinking aimed at efficiency and viability. The VP of Care Management Operations develops strong relationships with campus, Corporate leaders, and post-acute partners to drive efficient care and discharge plans.

Qualifications:

• Registered Nurse required
• Master’s Degree in Nursing (MSN) required or
• Bachelor’s Degree in Nursing (BSN) plus Master’s Degree
• Multi-Site Director of Case Management in an Acute Hospital Setting required
• ACM or CCM preferred

Responsibilities:

• Executive oversight of Care Management
• Direct reporting relationship with the Division Care Management Operations team including the Care Management model and strategy, the education/regulatory team, complex care team, referral management team, transition specialist/readmission strategy team, and the post-acute contract billing team
• Indirect reporting relationship with the campus Case Management leadership
• Monitors all applicable performance metrics related to the management of the patient’s hospital stay and post discharge planning including but not limited to LOS and Readmissions
• Oversight of division level contractual agreement for Case Management related programs including post-acute facility agreements and single patient agreements
• Develops and implements strategy and actions plans in alignment with the organization’s strategic planning process
• Ensures strategies developed and deployed for campus level accountability related to performance metrics
• Ensures alignment with regulatory guidelines and organization goals
• Adjusts strategy as indicated by performance metrics and/or organization need
• Assures evidence-based practice and clinical best practice care standards, outcomes and metrics are established and held accountable at each campus
• Establishes and improves systems and processes to support continuous learning and improvement based on quantitative and qualitative information regarding outcomes and quality
• Develops a high performing culture by keeping leadership engaged and constant communication with physicians and clinical leadership teams within areas of oversight
• Strategically evaluates and improves policies, procedures, and evidence-based practices consistent with the organization’s goals and all regulatory requirements and standards
• Collaborates with physician leadership to lead the clinical team in achieving Connected, Wholistic, Affordable, Viable and Exceptional (CWAVE) care with the best possible clinical outcomes and patient satisfaction by providing best practice quality care in a safe environment
• Participates in the patient safety evaluation system and maintains the integrity of the patient safety work product according to established policies
• Promotes collaboration with Nursing/Clinical/Care Management leadership team, physician leadership team, medical staff and affiliated services in an effort to advance the clinical practice and the efficient delivery of care
• Maintain organizational compliance with all applicable state and federal regulatory requirements relative to the delivery of care
• Plans and develops a complete succession plan for rollup up to and including own position
• Identifies high performing staff and works with Leadership Development and Talent Management to groom staff to meet succession plan timelines and curriculum
• Actively mentors others into the leadership roles throughout the timeline

Additional Knowledge:

• Knowledge of clinical practices and processes, legal and regulatory requirements and mandates, and the ability to gather and evaluate data and outcome results to use in planning hospital operations, budgets, and process improvement
• Outstanding written and verbal communication skills. Able to effectively express ideas and views through public speaking, presentations, reports, and professional correspondence
• Exceptional people management, leadership skills, and the capacity to relate to people in a manner that wins confidence and establishes support
• Strategic vision and thinking. Ability to position the organization for the future, looking beyond the present situation to conceptualize key trends and identify changing market demands
• Strong business acumen, intelligence, and capacity; able to think strategically and implement
• Tactically approaches his/her work as an interconnected system
• Ability to understand major objectives and break them down into meaningful action steps
• Strong organizational abilities and the flexibility to adjust to changing conditions and the various details of the position

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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