Director of Case Coordination, Greater Manchester Region

Position Summary

The Director Case Coordination is responsible for leading a team of clinical professionals at both Manchester Memorial Hospital and Rockville General in the execution of exemplary cross-continuum care coordination and has full accountability and oversight for the overall operations of the Case Coordination department.

The Director is responsible for the development and implementation of the case management process and promoting quality patient care outcomes while supporting appropriate utilization/resource management along the continuum of care.

The Director will, with market leaders, physicians, peers, community colleagues, system leaders and others, identify opportunities to improve patient care and services, and execute collaborative practices that exemplify Hartford HealthCare’s commitment to patient centered care and community engagement.

Key Accountabilities

• Directs the daily operations of the Case Coordination department, including all aspects of care coordination, care transition and regulatory compliance 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 and avoidable days, Value Based Care partnerships, Care Manager's roles in multidisciplinary rounds and care transitions

• Contributes to development of performance standards, appraises performance and works to assess, maintain, and improve competency in CMS regulatory processes and safe transitions of care

• Determines, provides and/or implements proactive local and corporate strategies and methods necessary to improve operations and outcomes for a high-performance culture, including operationalization of system standard work

• Cultivates and maintains intra departmental and medical staff relationships relative to care coordination objectives

• Supports change management and movement toward interaction with outpatient Care Management

• Manages interface with third party review and external agencies relative to compliance with regulatory and contract requirements

• Captures, coordinates, mentors and supervises the hiring, orienting, evaluating, continuing education and duties of the clinical RN case coordinators, case manager assistants, and social workers

Qualifications

• Bachelor’s Degree in a health-related field required

• Eight plus years of clinical experience or acute care case management experience

• Five plus years of healthcare leadership experience

• Current license in good standing to practice as a Registered Nurse or related Health Care Professional in the State of Connecticut

• Demonstrated knowledge of case management, discharge planning, transition of care, and transfer coordination; Medicare, Medicaid and federal/state/local regulations

• Ability to effectively engage physicians, management level staff, colleagues, and stakeholders in order to build partnerships, achieve strategic initiatives, and attain organizational goals

• Knowledge and expertise in utilization management and discharge planning

• Excellent leadership skills. Visible leader with proven ability to coach, mentor and influence

• Strong prioritization, problem-solving and critical thinking skills

• Strong communication skills with diplomacy to establish rapport with all stakeholders