Director Care Management

Description

Calling All Esteemed Leaders! Are you an exceptional strategist with a fervor for advancing healthcare? Do you excel at navigating multifaceted challenges and steering the future of healthcare delivery? If so, we have an outstanding opportunity awaiting you!

The Role:

As the Director of Care Management RN, you will be pivotal in executing our strategic vision. Anchored in the dynamic city of Eureka, you will collaborate with our executive team and key leaders to sculpt the future of healthcare within the region. Your leadership will encompass strategic oversight and operational management of care management functions across acute care ministries, including case management, utilization management, discharge planning, and social work services.

You'll ensure seamless care transitions, optimal patient outcomes, and adherence to regulatory standards, while nurturing partnerships with medical staff and community allies. Your guidance will be instrumental in driving performance through strategic planning, data-driven insights, and continuous improvement efforts aligned with organizational goals and the Quadruple Aim.

What You'll Do:

• Strategic Innovator: Formulate and execute annual strategic and operational plans that integrate clinical, administrative, and financial objectives.
• Operational Leader: Direct and oversee care management, utilization management, discharge planning, and psychosocial interventions.
• Collaborative Facilitator: Cultivate robust relationships with physicians, nursing, and other departments to guarantee seamless care transitions.
• Performance Analyst: Track and assess utilization trends, avoidable days, and performance metrics; implement corrective actions as necessary.
• Compliance Guardian: Ensure adherence to all regulatory, accreditation, and payer requirements.
• Financial Steward: Manage operational and capital budgets; monitor variances and maintain productivity standards.
• Mentor and Guide: Recruit, mentor, and develop staff; ensure ongoing education and performance evaluations.
• Community Liaison: Act as a liaison for community care partners to uphold continuity of care.
• Quality Advocate: Lead quality improvement initiatives to enhance patient experiences and outcomes.
• Reporting Specialist: Provide regular updates to regional and ministry leadership on care management performance.
• Learning Champion: Promote a culture of learning and excellence, fostering continuous professional development of staff and self.
• Committee Contributor: Participate and chair (co-chair) hospital/medical staff committee meetings as required.

What You'll Bring:

• Educational Background: Bachelor's Degree in Nursing required;
  Master's Degree in Nursing or related healthcare field from an accredited program (Preferred).
• Experience: 5 years of relevant experience in an acute healthcare setting in care management, coupled with 3 years of progressive leadership experience.
• Licensure: California Registered Nurse License upon hire.
• Leadership Alignment: Leadership abilities consistent with the mission, vision, and values of the Health System.
• Expert Knowledge: Principles and practices of acute care case management and evidence-based care.
• Core Competencies: Strong leadership, strategic thinking, team-building skills; effective communication, negotiation, and relationship-building abilities.
• Technical Skills: Proficiency in Microsoft Office Suite and familiarity with case management software.
• Regulatory Acumen: Knowledge of requirements and eligibility parameters for payers, Medi Cal, and Medicare.
• Multi-Tasking Ability: Capacity to manage multiple priorities and adapt to changing conditions.
• Clinical Expertise: Strong foundation of clinical assessment skills for managing care of clients with complex medical, emotional, and social needs.
• Communication Proficiency: Effective oral and written communication and negotiation skills in conflict situations, skillfully balancing demands without alienating others.
• Problem-Solving Skills: Critical thinking and problem-solving abilities to devise innovative solutions and achieve desired results.
• Interpersonal Excellence: Exceptional interpersonal skills with demonstrated diplomacy and teamwork ability; effective as a team leader guiding actions to accomplish objectives.
• Judgment and Decision-Making: Ability to exercise sound judgment for independent decision-making and seek consultation when deviating from organizational objectives.

Why Join Us?

• Impactful Work: Be part of an organization transforming healthcare and enhancing countless lives.
• Empowerment and Innovation: Experience the autonomy and support needed to bring innovative ideas to fruition.
• Professional Collaboration: Work alongside a team of talented and dedicated professionals passionate about their roles.
• Dynamic Environment: Embrace the challenges and rewards of a fast-paced, ever-evolving industry.
• Vibrant Locale: Enjoy Eureka’s stunning natural beauty and thriving cultural scene.

Ready to Shape the Future of Healthcare? If you're a visionary…