Medical Management Director directs and oversees the operations and strategic planning of the organization's medical management initiatives and programs. Establishes case management, utilization review, quality and outcome management, and community education programs to provide high quality, cost effective health care services. Being a Medical Management Director develops and implements clinical guidelines for care designed to improve outcomes while managing costs. Requires a bachelor's degree. Additionally, Medical Management Director typically reports to top management. The Medical Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Medical Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
General Summary
The Director’s primary responsibilities include management of all case management from pre-admission through post-discharge associated with the University of Maryland, St. Joseph Medical Center inpatient units, specialty outpatient units and emergency department. This position has responsibility for daily operations management and
leadership in strategic planning/implementing case management, utilization management and social services. This position has direct reports including Manager of ICM, Team leads, office staff and dotted line Physician Advisor. In addition, this position works closely with physician and nursing leadership within the hospital setting and along the healthcare continuum. The position is accountable for budgeting and financial performance, patient satisfaction, human resources management, process improvement, and overall patient flow/ LOS management. The position will ensure consistency in management of workflows, documentation, quality and outcomes for case management. Provides oversight to development and implementation of innovated processes to improve clinical outcomes.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Strategic Leadership
2. Performance Management and Workforce Engagement
3. Fiscal and Resource Management
4. Additional duties as assigned or directed
When you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team of healthcare professionals means you’ll be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog Group as a grade ‘A’ hospital and by U.S. News & World Report as #3 in both the state and Baltimore Metro area, making UM St. Joseph the highest-ranking community hospital in Maryland. In addition, we’ve been consistently recognized as a top employer by Baltimore magazine.
Education and Experience
1. BSN, MSN preferred and/or Master of Social Work required.
2. RN license required in States of Maryland.
3. Minimum 5 years management experience to include considerable experience in care coordination, leadership, coaching and mentoring.
4. 7-10 years of progressive case management experience required.
Certifications & Licensures
1. ACM or CCM required (or willing to obtain in 1 year)
2. RN
Knowledge, Skills & Abilities
1. Ability to communicate clearly with patients, visitors and staff of the Medical Center.
2. Concentrate and pay attention for periods of up to 8 hours to perform such tasks as personnel management, data analysis, strategic planning and problem solving.
3. Solve complex problems and deal with variety of variable in situations where only limited standardization exists.
4. Interpret a variety of instructions furnished in written, oral, diagram or schedule form.
5. Ability to read, analyze and interpret common scientific and technical journals, financial reports and legal documents.
6. Ability to define problems, collect data, establish facts and draw valid conclusions.
7. Ability to respond to common inquiries and complaints from customers, regulatory agencies or members of the business community.
8. Utilize standard business equipment.
All your information will be kept confidential according to EEO guidelines.
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