Regional Director of Inpatient Care Management - Miners, Monroe and Carbon Campuses

St. Luke’s University Health Network • Stroudsburg, PA

15d

About The Position

The Regional Director of Inpatient Care Management establishes, implements, and maintains Care Management processes focused on achieving satisfactory patient outcomes. The role provides clinical and administrative direction to Inpatient Care Management staff at assigned regional hospitals and ensures that services and practices align with applicable regulatory requirements and Conditions of Participation.

The Director oversees staff education, compliance and quality audits, performance improvement representation, utilization management reporting, and analysis of Care Management data. The role covers the Miners, Monroe, and Carbon Campuses.

Requirements

• Bachelor of Science in Nursing (BSN) or Master of Social Work (MSW) required.
• If an RN, maintain Pennsylvania RN licensure.

Nice To Haves

• If an RN, a Master of Science in Nursing (MSN) is preferred.

Responsibilities

• Ensure services comply with regulatory agency requirements and Conditions of Participation.
• Implement regulatory standards related to Care Management and continuity of care and discharge planning.
• Provide direct clinical and administrative direction to Inpatient Care Management staff at assigned regional hospitals.
• Provide educational training for Care Management personnel, clinical staff, and ancillary departments.
• Oversee compliance and quality audits of direct care manager reports to evaluate workflow adherence, software use, documentation, and training needs.
• Provide Care Management leadership and represent assigned hospitals at designated service line Performance Improvement meetings, community organizations, and external services.
• Monitor data, including variance and aggregate trend analyses, and recommend changes in practice.
• Report to and participate in the Network Utilization Management Committee on behalf of assigned regional hospitals.

What This Job Offers

• Job Type: Full-time
• Career Level: Director