Director Care Management RN-Burbank, CA

Providence•Burbank, CA

About The Position

The Director, Care Management (DCM) oversees care transitions, throughput, and appropriate use of the care continuum across acute care ministries. Areas of responsibility include case management, utilization management, discharge planning, social work, and psychosocial interventions that support safe and sustainable transitions and discharges. The role is accountable for patient care, outcomes, and satisfaction associated with care transition functions, and provides dynamic leadership to achieve performance that meets or exceeds regional and national peers. The DCM establishes ministry-specific strategic and operational plans incorporating clinical, administrative, and financial goals, objectives, and metrics; manages performance against those metrics; develops staff; and ensures services remain patient-centered and focused on the Triple Aim. The position also promotes customer service, communication, stakeholder engagement, collaboration, and satisfaction through direct interactions, education, presentations, and performance reporting. The role works with medical staff, Physician Advisors, executive leadership, community care partners, and other stakeholders to improve care transitions and patient experience. Providence emphasizes human connection and in-person collaboration for team cohesion and caregiver engagement, and expects leaders to live in or near the communities served. The position may be eligible for incentive compensation and benefits. Final compensation depends on qualifications, experience, organizational compensation alignment, and the approved hiring department budget.

Requirements

Bachelor's degree in Nursing if the candidate is a nurse.
Master's degree in Social Work if the candidate is not a nurse.
California Registered Nurse License required upon hire for nursing candidates.
Two years of care management experience in an acute care setting or environment; alternative or comparable experience may substitute.
Two years of healthcare management related to acute care case management; alternative or comparable experience may substitute.
Knowledge of principles and practices of acute case management.
Knowledge of evidence-based practice.
Understanding of the care continuum and care transitions related to acute care ministries.
Proficiency with Microsoft Office products, including Word, Excel, PowerPoint, and Outlook.
Effective problem-solving, writing, communication, and organizational skills.
Ability to manage multiple tasks simultaneously.
Ability to build, cultivate, and maintain key working relationships to support expert-to-expert collaboration.

Nice To Haves

Master's degree in a health-related or science field.

Responsibilities

Directly supervise, manage, and foster the professional development of staff; apply consistent practice standards and support recruitment, education, evaluation, and performance feedback.
Develop and engage an annual strategic work plan incorporating quality, clinical, administrative, and financial goals, and deliver against its metrics.
Continuously improve quality, performance, outcomes, and safety for individuals served and other stakeholders.
Develop budgets for areas of responsibility, including staffing productivity and performance metrics, and monitor and manage budget variances.
Foster communication and engagement with medical staff and community care partners to support optimal care transitions and patient experience.
Collaborate in oversight and management of the ministries' Physician Advisor program to promote medical staff engagement, education, understanding, and compliance.
Oversee ministry care transitions involving case management, utilization management, discharge planning, and psychosocial interventions; identify and address negative trends and variances.
Manage regular reporting and communication about care management performance and outcomes to ministry and regional stakeholders.
Seek executive leadership consultation and support for challenges involving areas of responsibility, patient care, and patient outcomes.
Coach, mentor, educate, and advocate for direct reports, medical staff, and individuals served.
Ensure ongoing licensing, regulatory, and accreditation compliance.
Improve quality and care programming in support of the Triple Aim and the individuals served.
Serve as a point of contact and liaison for community care partners involved in pre- and post-hospitalization transitions and continuity of care.
Support continuous learning, excellence, and professional development for staff and self.
Participate in and chair or co-chair hospital and medical staff committee meetings as required.