Dartmouth-Hitchcock Concord - Lebanon, NH

posted about 2 months ago

Full-time - Director
Lebanon, NH
Religious, Grantmaking, Civic, Professional, and Similar Organizations

About the position

The Director - Care Coordination is responsible for system-wide Care Coordination functions (Capacity Coordination, Social Work, Navigation, and Case Management) including the execution of the care coordination strategic plan for the health system and the health plan. This includes organizing and directing an integrated cross-continuum care management and transitions of care program that monitors (on both an individual case and aggregate level) and directs actions to ensure achievement of health system and health plan goals, initiation of change management processes, and implementation of best practices, policies, and procedures.

Responsibilities

  • Works closely with the VP, Care Coordination and Hospital Chief Nursing Officers to develop tactics that are aligned with current performance and vision for the care coordination program.
  • Ensures compliance with all CMS regulations.
  • Assures timely patient care progression and appropriate care and resource utilization.
  • Oversees safe discharge planning.
  • Synthesizes and applies data analytics to drive system care coordination performance.
  • Collaborates with physicians and other departmental leaders and staff to address barriers to care coordination outcomes.
  • Identifies root causes and drives performance improvement initiatives.
  • Manages, interprets, and shares Care Coordination data with Dartmouth Health executives and department leaders.
  • Plays a key role in the professional development of Care Coordination leaders and staff, including mentoring and coaching.
  • Collaborates with Care Coordination and Dartmouth Health system leaders to develop the department's operational structure.
  • Facilitates engagement with Care Coordination leaders to develop and implement standard roles and staffing models.
  • Develops, revises, and maintains standardized Care Coordination education and resource materials.
  • Implements professional standards for care coordination based on recognized standards of care.
  • Builds a culture of trust and engagement as reflected in the Great Place to Work Trust Index Survey.
  • Drafts and recommends for final approval Care Coordination policies and procedures.
  • Develops comprehensive resource guidelines and processes for complex patient management.
  • Monitors Hospital Care Coordination for consistent compliance with regulatory standards.
  • Represents Dartmouth Health Care Coordination at local, State, and national meetings.

Requirements

  • Master's degree in clinical or health related field required.
  • A minimum of five to seven years of leadership experience in care coordination, case management, or utilization review.
  • Nationally recognized certification preferred (e.g., CPHQ, CCM, CPUM, CPUR, D-ABQAURP).
  • Strong leadership, communication, and computer skills desired.
  • Extensive knowledge of payer mechanisms and clinical utilization management required.
  • Working knowledge of clinical systems, outcome measures, and processes required.
  • Knowledge and understanding of hospital information systems and their potential uses and benefits.
  • Facility for data analysis and interpretation.
  • Ability to organize and present data in a concise and easily understood manner.

Benefits

  • Professional development opportunities.
  • Mentoring and coaching.
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