Director of Care Coordination
About The Position
Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. Bargaining Unit: MC Job Summary: The Department of Hospital Administration at SUNY Downstate Health Sciences University is seeking a full-time Director of Care Coordination / TH Associate Administrator. The successful candidate will: Oversee daily program operations with the Care Management Team (Social Work and Case Management), with a focus on hiring and supervising key program leadership and staff Evaluate program and staff performances by analyzing an interpreting data and metrics Direct the standardization of CM policies, practices workflow and data reporting within the system Establish strategic. tactical and financial plans to optimize the efficacy of clinical case management operations Remove barriers lo optimal performance, including: decreasing length of stay, reducing readmissions, ensuring regulatory compliance, reducing denials, enhancing population health management Lead the implementation of improved clinical care management models and utilization management systems to: decrease readmissions, recidivism, and excessive length of stay and medical denials; respond to regulatory changes Collaborate with other revenue cycle leaders to ensure processes are aligned Provide accurate and pertinent information to appropriate departments, administration, medical staff, and others involved with CM activities Collaboration of ED utilization/direct admits process coordination; understands compliance from a Case Management perspective Evaluate the facility/practice case management care coordination operations as well as individual core processes to improve the performance and financial expectations Review data for trends and analyzes the impact on department operations Develop and implement key training tools for key leadership and staff positions Perform other job-related duties as assigned/needed
Requirements
- Clinical experienced Registered Nurse, Case Manager or Licensed Social Worker
- Master's Degree with a strong concentration in healthcare, strategic and financial planning
- Experience with Brooklyn's healthcare landscape.
- Knowledge of federal and state healthcare initiatives and regulations, including JCR/CMS
- Proficiency with detailed project plans, budgets and financial reporting.
Nice To Haves
- 8+ years of project or program management experience with certification preferred
Responsibilities
- Oversee daily program operations with the Care Management Team (Social Work and Case Management), with a focus on hiring and supervising key program leadership and staff
- Evaluate program and staff performances by analyzing an interpreting data and metrics
- Direct the standardization of CM policies, practices workflow and data reporting within the system
- Establish strategic. tactical and financial plans to optimize the efficacy of clinical case management operations
- Remove barriers lo optimal performance, including: decreasing length of stay, reducing readmissions, ensuring regulatory compliance, reducing denials, enhancing population health management
- Lead the implementation of improved clinical care management models and utilization management systems to: decrease readmissions, recidivism, and excessive length of stay and medical denials; respond to regulatory changes
- Collaborate with other revenue cycle leaders to ensure processes are aligned
- Provide accurate and pertinent information to appropriate departments, administration, medical staff, and others involved with CM activities
- Collaboration of ED utilization/direct admits process coordination; understands compliance from a Case Management perspective
- Evaluate the facility/practice case management care coordination operations as well as individual core processes to improve the performance and financial expectations
- Review data for trends and analyzes the impact on department operations
- Develop and implement key training tools for key leadership and staff positions
- Perform other job-related duties as assigned/needed
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What This Job Offers
Job Type
Full-time
Career Level
Director
