Healthcare, Healthcare Management

Houston, United States | Posted on 02/05/2024

• Education Requirement 4-Year Degree Required;
  Master's Degree Required

Compliance and Policy Adherence;
Care Management;
Leadership and Management;
Communication and Collaboration;
Regulatory Compliance and Licensing

• Job Title:
  Administrative Director of Care Management
• LEVEL:
  Senior
• TRAVEL REQUIRED:
  Travel not required
• Location(s):
  Houston, TX
• SALARY : $ - $
• RELOCATION PACKAGE:
  Full

The Administrative Director of Care Management is responsible and accountable for implementing the case management program at the local level. This role involves overseeing the development of systems and processes for care/utilization management, monitoring hospital department activities related to discharge planning and clinical quality improvement, and promoting effective resource utilization.

• Works in collaboration with the local level Directors of Case management to plan and coordinate all aspects of the local level program.
• Facilitates growth and development of the case management program consistent with enterprise-wide philosophy and in response to the dynamic nature of the health care environment.
• Identifies and achieves optimal targeted clinical and financial outcomes via the case management process.
• Assures that revenue, expenses, contribution margin, and FTE’s meet or exceed budget.
• Prepares and submits budget and related reports.
• Forecasts and accurately projects expenses.
• Takes corrective action to address negative variances.
• Identifies and proposes capital budget items appropriately.
• Acts as liaison to facilitate communication and collaboration between all care partners.
• Leads a high-performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.
• Uses data to drive decisions, plan, and implement performance improvement strategies for case management.
• Oversees the education of physicians, managers, staff, patients, and families related to the case management process at the system level.
• Participates in the evolutionary process by constantly identifying future needs of current customers and/or identifying potential new customers.
• Responsible for the ongoing development of the Care Management program to extend beyond the acute inpatient environment.
• Ensures safe care to patients, staff, and visitors; adheres to all policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor, and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
• Models Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
• Other duties as assigned.

• Education:
  
  Bachelors of Nursing (BSN) or Masters Social Work (MSW). Masters degree preferred

• Current and valid license to practice as a Registered Nurse in the state of Texas or
• Current and valid Texas license as a Master’s Social Worker (LMSW) required,
• LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM), or
• Fellowship of the American Academy of Case Management (FAACM) required.

• Minimum five (5) years’ experience in utilization management, case management, discharge planning,…