Market Director Care Management
About the role
Oversees the departments recruitment and retention activities, taking action to ensure adequate staff and leadership in care management.
Actively engages with post-acute care entities to improve patient care transitions and decrease readmissions.
Leverages and leads technology change management to improve staff efficiencies, drive positive patient outcomes, and maximize the tools care managers utilize to perform their roles.
Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services.
Ensures compliance with CMS CoPs for Discharge Planning as well as related federal and state regulations.
Participates in Corporate Care Management meetings, cascades information, and implements strategies with standard work and processes.
Develops and oversees the implementation and compliance with Care Management policies and standard operating procedures.
Collaborates with interdisciplinary hospital leaders and executives to achieve organizational goals.
Develops and meets operational budget performance with oversight to assure capital and fiscal accountability.
Partners with Utilization Management for the Utilization Review Committee as well as day-to-day operations.
Identifies improvement opportunities and develops, implements, and monitors action plans.
Educates and mentors facility Care Management staff and the interdisciplinary teams on data, outcomes, and opportunities.
Responsibilities
- Understands medical necessity for appropriate patient status and level of care
- Understands Care Management best practices
- Researches and reasons best practices to support process improvement
- Strong verbal and electronic communication skills
- Analyzes, evaluates, and monitors data in addition to providing action plans
- Sustains goals of Care Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Care Management program
- Supports positive employee relations and customer experience
- Understands Microsoft Office Products and other appropriate software platforms
- Understands CMS Conditions of Participation for Discharge Planning
- Understands Managed Care and Value Based Programs
- Works autonomously with self-direction
- Collaborates with a diverse leadership team
- Leads and sustains change
- Knowledge of change management principles, methodologies, and tools
Requirements
- Bachelor's in Nursing
- Master's in Nursing (preferred)
- 5+ direct care management experience
- 3+ care management leadership experience
- 2+ frontline nursing experience
- Registered Nurse (RN) license
- Accredited Case Manager (ACM) certification (preferred)
- Certified Case Manager (CCM) certification (preferred)
Skills
- Understanding of Care Management best practices
- Strong verbal and electronic communication skills
- Analysis and evaluation of data
- Leadership and collaboration with interdisciplinary teams
- Change management knowledge and tools
Qualifications
- Education: Bachelor's in Nursing
- Preferred: Master's in Nursing
- Experience: 5+ direct care management experience, 3+ care management leadership experience, 2+ frontline nursing experience
- Licenses/Certifications: Registered Nurse (RN), Accredited Case Manager (ACM) certification (preferred), Certified Case Manager (CCM) certification (preferred)
Benefits
Includes medical, dental, vision insurance, life insurance, disability insurance, paid time off, 403-B retirement plan, whole person well-being resources, mental health resources and support, pet benefits, career development, and more.
Pay
$90,771.44 - $168,842.62
Schedule
Full time, Shift Day (United States of America)
Contact Information
Address: 40100 HWY 27, Davenport, FL 33837