Director Care Management - SJH - Orange

Description

"

THE ROLE

The Director is responsible for the strategic planning", development, administration and operations of Care Management and Social Services for the hospital along with the Transitions of Care for patients. The Director has oversight for all aspects of daily operations to enable long-term and short-term goals to be achieved in a manner that is consistent with the mission values and strategic goals of the local ministries as well as across the region for St. Joseph Heritage Healthcare. This position is responsible for maintaining integration between the departments within the hospital as well as across the continuum. The Director is accountable for achieving established performance targets through actively engaging multiple disciplines and professional staff with both internal and external stakeholders. The Director reports directly to the Vice President of Care Integration of St. Joseph Heritage Healthcare with a matrix reporting structure to the local Ministry and Network.

ESSENTIAL FUNCTIONS

• Directs all care management/social service functions within the hospital and the transition of care. Responsible for establishing and maintaining systems and processes that optimally provide for effective and efficient delivery of patient care. Works closely with leadership in establishing and maintaining systems that optimize outcomes for all entities involved. This includes prospective, concurrent and retrospective utilization management, discharge planning, and social work functions. Assures inter-rater consistency and staff competencies.
• Integrates and coordinates all related services of Care Management within the hospital with the associated Physician Networks. Develops integrated plans that effectively transition patients throughout the continuum.
• Directs the processes necessary for data collection and the management of pertinent integrated information. Participates in the review, interpretation and decision-making regarding resource management. Monitors and tracks variant/avoidable bed days/visits and other utilization trends. Reports data as required to appropriate entities. Implements corrective actions as deemed appropriate.
• Creates a collaborative team both within the ministry as well as across the continuum with all departments which impact care management, social services and utilization management outcomes. This includes coordination and communication with Medical Staff, Nursing, Quality, Revenue Cycle Services, Health Information Management, Contracting, the ambulatory setting and other functional areas that impact the flow of patient care and the utilization of resources.
• Develops and manages operational and capital budgets, including ensuring staffing schedules are consistent with targeted productivity.
• Maintains comprehensive knowledge of payor and Regulatory requirements assuring that all functions meet internal, Health Plan, and regulatory body requirements.

QUALIFICATIONS

• Bachelor's degree in nursing; or master's degree in social work
• Master's degree in nursing (preferred)
• Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information.
• Preferred upon hire: Certified Case Manager (CCM), or Accredited Case Manager (ACM)
• 5 years of experience in Care Management/Utilization Management
• 3 years of management in acute care setting
• 5 years of clinical and administrative experience
• 5 years of experience in Management of Inpatient Care (preferred)
• Strong project management and operations experience
• Must be a dynamic leader, able to navigate a complex environment, with excellent verbal and written communication skills.
• Ability to effectively interact and establish immediate credibility with all levels of management, physicians, staff, patients, and community leaders.
• Effective influencing, negotiation, relationship-building and communication skills are essential.
• Ability to work effectively under pressure, due to change priorities.
• Ability to work with Information Service department to maintain performance of computer hardware and software within the department.
• Effective employee management skills
• Ability to lead through influence and persuasion.
• Ability to facilitate the integration of the finance, operations, and strategic functions of the organization.
• Possess strong leadership, critical-thinking and motivational skills/abilities.
• Knowledge of ambulatory healthcare delivery and management
• Ability to build consensus across organizational lines.
• Ability to adapt quickly to changing conditions while managing multiple priorities.
• Ability to work independently, self-direct activities.
• Excellent organizational skills
• Ability to work effectively and establish and promote positive relationships.
• Ability to travel between St. Joseph Health locations.
• Basic computer skills in a Windows environment
• Proficient in all MS Office applications," (preferred)
• Bilingual English/Spanish communication skills (preferred).

" About Providence

"At Providence", our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people," advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role", such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives," or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

"

Requsition ID: "219006

Company: Providence Jobs

Job Category: Care Management

Job Function: Clinical Care

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 7540 SJO CASE MGMT

Address: CA Orange 1100 W Stewart Dr

Work Location: St Joseph Hospital-Orange",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Pay Range: $71.28 - $117.03

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Salary : $71 - $117