Director Care Coordination

About the role

The Director of Care Coordination is responsible for the implementation, evaluation and direction of Care Coordination in support of the CommonSpirit Health Care Coordination model. The leader has oversight of clinical resource management, progression of care, discharge planning activities, patient advocacy and clinical social work. In collaboration with the National Market Director Care Coordination, the CC Director develops strategies to achieve departmental and CommonSpirit Health goals and objectives.

Responsibilities

• Provides strong leadership and direction to the care coordination department, including staff supervision, team building, and performance management.
• Develops, implements, and evaluates care coordination programs and strategies to optimize patient care, resource utilization, and quality outcomes that align with system-wide Care Coordination.
• Ensures that the care coordination department adheres to all relevant healthcare regulations, accreditation standards, and organizational policies.
• Oversees the daily operations of care coordination, including staff supervision, budget management, and resource allocation in alignment with organizational goals.
• Led improvement groups and collaborates with healthcare providers, insurance companies, and other internal and external stakeholders to coordinate patient care and facilitate communication across the care continuum.
• Makes sure to monitor and analyze data related to care coordination activities, patient outcomes, and resource utilization to drive decision-making and improvements.
• Trains and evaluates care coordination staff to ensure they are aware of and implementing system initiatives, possess the skills and knowledge necessary for effective performance and completion of required education.

Requirements

• Minimum of 5 years of clinical care coordination experience. (Utilization Management, Denial Management, Case Management, Care Coordination) or 5 years of progressively responsible healthcare management experience.
• Extensive operational experience, program planning, implementation, staff development, and needs assessment in healthcare environment.
• Comprehensive knowledge of care coordination and discharge planning.

Qualifications

• Bachelor's Degree in Nursing (e.g. BSN) or Masters in Social Work or equivalent education and experience.
• Current unrestricted RN license where practicing required or clinical SW license.
• National certification in either of the following: CCM (Certified Case Manager), ACM (Accredited Case Manager) required or within 2 years upon hire.

Skills

• Strong leadership and management skills.
• Excellent interpersonal and communication skills.
• Ability to develop and implement care coordination strategies.
• Knowledge of healthcare regulations and accreditation standards.
• Proficiency in data analysis and reporting.
• Ability to collaborate with various stakeholders.

Benefits

Depends on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time.

Pay

The posted compensation range of $57.58 - $108.74 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.

Schedule

Hours/Pay Period: 80
Weekly Schedule: day shift
Shift: Day
Remote: No