Director Care Management

Director Care Management at Providence summary:

The Director of Care Management leads and coordinates care management teams at multiple hospitals, ensuring seamless patient care from admission to discharge while managing resources efficiently. This role focuses on patient advocacy, staff leadership, compliance, and collaboration with healthcare providers to optimize clinical outcomes and financial viability. The position requires clinical nursing experience, leadership skills, and the ability to foster a culturally sensitive and patient-centric care environment.

Description

Calling All Healthcare Visionaries!

Are you a dynamic leader with a passion for transformative healthcare delivery? Do you excel at navigating intricate challenges and driving change? If so, we have the perfect opportunity for you!

The Role: Under the supervision of the North Division Executive Director of Care Management, the Director of Care Management is a pivotal role responsible for orchestrating and optimizing care management. You will lead and inspire a dedicated team, ensuring a seamless continuum of care, patient advocacy, and efficient resource management from admission through to discharge. This role is integral in maintaining financial viability by overseeing care management teams to coordinate the best next site of care for our patients.

This position oversees St. Peter Hospital (390 beds) and Centralia Hospital (128 beds).

What You'll Do:

• Master Coordinator: Direct, coordinate, and facilitate care management processes to ensure the highest standard of patient care and operational efficiency.
• Champion of Continuity and Care Coordination: Oversee the delivery of consistent and expected clinical outcomes, advocate for patients, and manage resources effectively to minimize fragmentation within the healthcare delivery system.
• Communication Facilitator: Ensure robust communication amongst all members of the healthcare team, fostering an environment of collaboration to enhance patient care.
• Cultural Advocate: Promote cultural and religious sensitivity, ensuring patient care respects diverse beliefs and backgrounds.

Essential Functions:

• Mission-Driven Leadership: Ensure team alignment with the organization’s Mission, Vision, and Core Values.
• Customer Satisfaction: Develop and maintain a comprehensive departmental customer satisfaction program.
• Human Resource Management: Attract and retain top talent, coach, and manage staff to achieve peak performance.
• Compliance and Confidentiality: Adhere to infection control, risk management, confidentiality policies, and regulatory guidelines.
• Cultural Competency: Foster a respectful environment that is sensitive to cultural and religious diversity.
• Safety and Security: Ensure compliance with all safety and security policies and procedures.
• Patient-Centric Care: Provide competent care tailored to diverse patient populations, including neonates, pediatrics, adolescents, adults, and older adults.
• Policy Development: Contribute to the creation and maintenance of departmental policies in line with organizational, legal, and community standards.
• Goal Setting: Assist in setting departmental goals that align with organizational strategies.
• Budget Management: Participate in annual budget planning to deliver cost-effective and high-quality services.
• Admission and Discharge Management: Oversee admission and discharge services, ensuring alternatives are considered for non-qualifying inpatient admissions.
• Physician Relations: Build strong cooperative relationships with physicians.
• Utilization Management Oversight: Lead the Utilization Management Committee, ensuring effective use of resources and monitoring data trends.
• Contract Management: Supervise services provided by external partners, maintaining high service standards.
• Referral Agency Coordination: Establish and maintain relationships with external agencies to facilitate timely patient discharges.

What You'll Bring:

• Educational Background: Bachelor’s Degree in Nursing;
  Master’s Degree preferred.
• Clinical Experience: At least 2 years as an RN in an acute care setting.
• Leadership Experience: Minimum 3 years managing care coordination. Utilization review knowledge…