Mkt Director Care Management

CommonSpirit Health•Chattanooga, TN

About The Position

The Market Director, Care Management provides oversight and management of inpatient care management activities across the market. The role collaborates with Care Management leadership, system executive leadership, physicians, and staff to plan, organize, direct, and guide the Care Management team and ensure safety, best practices, and high-quality standards of care. The Director also works with hospital leaders, physicians, and staff on improvement initiatives. The position oversees daily Care Coordination program operations, ensuring accountability, effectiveness, efficiency, and compliance with regulatory and accreditation agencies, and plans and implements activities across the continuum of care. It serves as a clinical advisor to care management programs, including program development, payer and facility relations, patient tracking, and decisions about alternatives to acute care that consider quality and financial factors. The Director analyzes data, develops improvement strategies and action plans, develops department and division strategies, maintains relationships with medical and hospital leadership, and directs and controls Care Management department operations with responsibility for quality and productivity.

Requirements

Bachelor of Nursing and five years of leadership experience; or a Master of Nursing and seven years of administrative and healthcare system experience plus seven years of clinical and care management experience; or a master's degree in allied health or business administration and administrative and healthcare system experience plus seven years of clinical and care management experience.
Registered Nurse license in Tennessee, upon hire.
Accredited Case Manager certification or Certified Case Manager certification, upon hire.
Strong leadership, organizational, and communication skills.
Deep understanding of inpatient care management.
Proven ability to drive quality and performance improvement initiatives within a complex healthcare market.

Responsibilities

Oversee daily operations of the Care Coordination program, ensuring accountability, effectiveness, efficiency, and regulatory and accreditation compliance.
Plan and implement care management activities across the continuum of care.
Serve as a clinical advisor to care management programs across the continuum of care.
Participate in program development and support payer and facility relations.
Support patient tracking across the continuum of care and decisions about alternatives to acute care, considering quality and financial factors.
Analyze data and develop strategies and action plans to address improvement opportunities.
Develop department and division strategies to ensure efficient operations and achievement of goals.
Maintain relationships with medical staff, the CNO, nurse VPs, directors and managers, department managers, and technical directors to support intradepartmental goals and advise on outcome-related activities.
Plan, organize, direct, and control Care Management department operations, with responsibility for quality and productivity.
Collaborate with Care Management leadership, system executive leadership, physicians, staff, and hospital leaders on improvement initiatives.