Dir Of Care Management

Position Summary / Career Interest:

Responsible for departmental operations of the Care Management service. Focus of service is to provide the highest level consistently to the organization in areas of timely discharge, quality care coordination, and appropriate resource utilization. Directs and guides activities of the professional staff in maintaining the goals, mission and vision of the organization.


Responsibilities and Essential Job Functions

• Demonstrates clear and effective communication with team, management team and interdisciplinary team
• Responsible for data systems imperative to the work of the department. (Milliman and Robertson, Soft med, etc)
• Coordinated PI activities that improve care coordination and efficient care delivery.
• Responsible for financial performance of the department and develops annual budget in collaboration with VP- Patient Care
• Monitors productivity on a daily basis and makes staffing adjustments to better meet organizational need.
• Provides for staff education to maintain problem solving and competency of department staff.
• Evaluates effectiveness of the Care Management program and provides guidance to goal setting that will improve patient outcomes and compliance with regulatory practice.
• Holds regular department meetings with staff for review of activities and sharing of observations, ideas and concerns.
• Completed yearly performance appraisals for Utilization Review staff, and management staff. This will include the development of departmental goals for the upcoming year and /or educational strategies to meet performance needs identified.
• Promotes the optimal allocations of health care dollars through effective use of resources related to quality driven cost effective care. Offers organizational recommendations based on data driven processes.
• Evaluates and analyzed data generated from Care Management activities and communicates significant findings throughout the organization
• Identifies opportunities to improve customer service through the evaluation of customer satisfaction data and responding to customer complaints in a timely fashion.
• Stays abreast of professional trends and technology.
• Develops and implements policies and procedures that guide and support the provision of services as well as meets regulatory standards.
• Establishes and implements a departmental competency plan for staff and self.
• Secondary Responsibilities This position requires the ability to lead others in a professional respectful manner, to maintain data integrity and discretion, confidentiality and the ability to interact wit co-workers, customers and visitors in a positive resolution based manner. Directs recruiting, interviewing and selection process of new staff. Maintains compliance with JCAHO, and other regulatory bodies standards. Demonstrates a positive attitude toward change, support organizational decision, assists in organizational efforts towards cost containment.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• Master Degree Nursing OR
• Bachelor Degree Nursing and Master Degree in another healthcare related field
• Five years of healthcare experience with two years of recent management experience
• Experience working with professional and medical staff to develop clinical and financial outcome measurements

Required Licensure and Certification

• Licensed Registered Nurse (LRN) - Single State - State Board of Nursing Registered Nurse in State of Kansas

Preferred Licensure and Certification

• Accredited Case Manager (ACM) - American Case Management Association (ACMA)

Knowledge Requirements

• Possesses a strong leadership skill and management experience in facilitating interdisciplinary collaboration within a fiscally sound framework.
• Ability to conceptualize broad and detailed information, problem solve, and incorporate critical decision making into daily practice. Is a systems analyst. Working knowledge of PI principals.
• Ideal candidate will have a strong background in project implementation, utilization management and case management.

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.