Director Care Management East Orlando

Adventist Health • Orlando, FL

105d

About The Position

The Care Management Facility Director has full accountability and oversight for the overall operations of the Care Management department, including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social Services, Readmission Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team member evaluations and customer experience. The Care Management Facility Director leads, manages, and supervises all activities of the Care Management Manager, Team Leads, Care Managers, Social Workers and Care Manager Assistants to ensure appropriate care coordination and care transition handoffs for all patients. The Care Management Facility Director will provide monthly metric reports and mitigation plans to the Care Management Divisional Director. The Care Management Facility Director reports directly to the Division Care Management Director with a matrix reporting relationship dotted line to the Facility CNO. The Care Management Facility Director works closely with the Facility CNO to implement the Corporate Care Management strategies. The Care Management Facility Director meets regularly with the CMO to align Care Management work with Providers and keep the CMOs updated. The Facility Care Management Director communicates regularly with the CFO to provide a bidirectional communication to keep Facility CFOs updated on Care Management initiatives and progress.

Requirements

• Registered Nurse: BSN or Social Worker: MSW or BSW + Masters in related field
• 5 years of Care Management experience performing hospital discharge planning
• 3 years of Manager level (or above) experience in Care Management/Social Work leadership
• State Specific RN license if a nurse

Nice To Haves

• Registered Nurse: MSN
• Social Worker: MSW with LCSW
• 5-7 years in Care Management leadership (manager level or above) in addition to 5 years of direct Care Management/Utilization Management experience and increasing leadership responsibility
• RN-BC Certification in Care Management

Responsibilities

• Directs the daily operations of the Care Management department, including all aspects of care coordination, care transition and compliance guidelines
• Implements the Corporate Care Management strategies
• Responsible for providing and or implementing strategies to improve operations and outcomes
• Determines proactive strategies and methods necessary for a high-performance culture related to Care Management
• Supports change management and movement toward interaction with outpatient Care Management
• Assists in the development and oversees the implementation of Care Management policies, procedures, and standards
• Participates in the development of new staffing and care designs that support system goals while achieving best in class performance
• Supports standards that are consistent with hospital, community and nationally recognized evidence-based practice
• Collaborates with C-Suite and other hospital leaders to maintain a collaborative professional relationship to achieve goals

Benefits

• Benefits from Day One
• Paid Days Off from Day One
• Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) *For eligible positions

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees