Region Director Care Coordination-Central Region

About the Role

This is a remote position supporting the Central Area Region requiring up to 75% travel (Central Area includes NV, AZ, NE, IA, WI, MN, ND). As our Region Director, Care Coordination, you will provide critical leadership in advancing high-quality, patient-centered care. This includes strategic leadership, operational oversight, clinical direction for patient flow, and ensuring alignment with systemwide standards and regulatory requirements for all hospital Care Management functions across your assigned region.

Key Responsibilities

• Provide strategic and operational leadership for Care Management functions across all hospitals within the region, ensuring alignment with system priorities and regulatory requirements
• Oversee clinical care management operations including progression of care, discharge planning, and social work services, ensuring integration and alignment with system strategies
• Lead the implementation and standardization of system policies, procedures, and tools across regional hospitals to promote efficiency, quality, and compliance
• Maintain working knowledge of utilization management workflows, payer requirements, and medical necessity criteria to support accurate level of care determinations and reduce delays
• Support Hospital Directors of Care Management in achieving key performance indicators (LOS, readmissions, discharge efficiency, and patient satisfaction)
• Monitor and report regional performance outcomes, identify variances, and partner with local and system leaders to address opportunities for improvement
• Build and sustain strategic partnerships with system, regional, market, and hospital leaders
• Serve as the primary Care Management liaison for the Region Chief Nursing Officer, promoting coordination of care across acute and post-acute settings
• Develop strong working relationships with key stakeholders including regional Chief Medical Officers, Chief Financial Officers, Chief Operating Officers, and Post-Acute leadership
• Collaborate with the System and Region Director(s) of Utilization Management to ensure cohesive workflows between care management and utilization review
• Apply strategies within daily operations to identify trends and address gaps to facilitate authorizations and reduce preventable denials
• Facilitate cross-functional collaboration with departments such as Physician Advisory, Revenue Cycle, Payer Strategy, Compliance, Community Health, Behavioral Health, Ethics, Legal, and Quality
• Serve as a proactive advisor and subject matter expert, using data analytics and evidence-based practices to inform decision-making and optimize outcomes
• Develop relationships with local/state agencies and associations to optimize resources available to patients
• Collaborate with post-acute and community partners to ensure seamless patient transitions and strengthen network integrity
• Engage in Clinical Joint Operating Committees (JOCs) with payers to address utilization trends, resolve systemic issues, and drive collaboration on medical necessity and post-acute authorization practices
• Partner with Payer Strategy and Revenue Cycle to ensure compliance with payer requirements and maximize reimbursement opportunities under federal, state, and commercial programs
• Represent the region on system-level councils and committees where needed, aligning local initiatives with national goals
• Lead regional execution of system-wide initiatives, such as the various Care Management Playbooks, Shared Governance, and Discharge Optimization programs
• Guide hospitals in operationalizing programs that improve progression of care, enhance patient transitions, support throughput, reduce readmissions, reduce avoidable delays, and optimize reimbursement outcomes
• Drive operational efficiency and quality through process redesign, standardization, and continuous improvement initiatives
• Leverage analytics to inform planning and drive measurable improvements in throughput, patient outcomes, and financial stewardship
• Champion workforce development by ensuring comprehensive orientation, competency, and continuing education for all regional care management staff
• Partner with Human Resources and facility leadership to ensure appropriate staffing models, skill mix, and role optimization to meet patient care needs
• Identify and mentor emerging leaders, developing strong succession pipelines and fostering career growth opportunities
• Promote a culture of accountability, engagement, and recognition, ensuring staff are empowered to deliver compassionate, high-quality care management services
• Ensure compliance with all applicable federal, state, and local regulations, as well as accreditation and organizational standards governing care management and social work
• Maintain audit readiness and serve as a key liaison during internal and external regulatory reviews
• Uphold CommonSpirit Health's Mission, Vision, and Values, ensuring ethical decision-making and adherence to the Code of Conduct
• Champion diversity, equity, inclusion, and belonging within the regional care management structure
• Lead or participate in system-wide projects and task forces as assigned
• Demonstrate flexibility and resilience in adapting to evolving healthcare environments and organizational priorities

Requirements

• Master's degree (other Master's degree) or Bachelor of Science in Nursing
• Registered Nurse license
• Accredited Case Manager (ACM) certification
• Minimum of 10 years in acute care management
• Minimum of 5 years in a leadership role overseeing multiple facilities or a regional structure
• Proven success in developing and implementing large-scale care management strategies

Pay

$69.41 - $103.25 /hour