Regional Director Inpatient Care Management
Jefferson Health Plans•Philadelphia, PA
•Onsite
About The Position
In collaboration with the Enterprise VP Care Management and hospital leadership, the Regional Director Inpatient Care Management is responsible for the direction and objectives of the Care Management Department, consistent with the Hospital and Jefferson Health's strategic plan and mission. Responsible for the administrative oversight of the overall operations, growth, and development of the activities of the Care Management Department for their designated hospitals / region.
Requirements
- Master’s Degree MSN, MSW or MBA or other Master's Degrees with care management experience required.
- 5 years experience in hospital-based Care Management or ambulatory/population health care management and 5 years prior management experience required.
- Knowledge of managed care, governmental and third-party payers’ reimbursement.
- Strong interpersonal relationships.
- Ability to prioritize workload; collaborate with others to meet multiple deadlines; communicate effectively orally and in writing; work in a team environment, document in electronic health records.
- Possess robust performance improvement skills.
Responsibilities
- Develops structures and processes to facilitate participation by physicians, members of the healthcare team in the multidisciplinary care planning, care progression and discharge planning.
- Develop and implement policies, procedures and standards that provide structure for the Care Management Departments.
- Actively participates in internal and external committees and represents self and the Enterprise in a professional manner.
- Develops, submits, and oversees the Care Management departmental operational and capital budgets. Guides Managers in variance reporting as warranted.
- Provides oversight implementing and evaluating the Care Management Department’s daily operations.
- Develops and implements ongoing notifications of both computerized/non computerized Care Management/Social Work systems and applications.
- Establish and assure appropriate staffing levels, assignments, and deployment for the Care Management Departments.
- Resolves conflicts related to discharge planning with patients/families, external agencies, and payers.
- Facilitates transition of patients across the care continuum by establishing relationships with appropriate providers and community services.
- Formulates and implements a plan for growth and development of staff.
- Ensures compliance with regulatory, governmental standards and payer requirements.
- Participates in data collection and analysis of clinical and financial data (e.g. LOS data, avoidable days, barriers) and makes recommendations to improve performance.
- Serves as a resource to members of the healthcare team.
- Mitigates risk and safety using the High Reliability Organizational principles.
- Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
Benefits
- medical (including prescription)
- supplemental insurance
- dental
- vision
- life and AD&D insurance
- short- and long-term disability
- flexible spending accounts
- retirement plans
- tuition assistance
- voluntary benefits
- tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service
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What This Job Offers
Job Type
Full-time
Career Level
Manager
