Director of Care Management
Case Management Society of America (CMSA) ®, Florida, NY, United States
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together
we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule: Full time
Shift: Day (United States of America)
Address: 7050 GALL BLVD
City: ZEPHYRHILLS
State: Florida
Postal Code: 33541
Job Description:
Oversees the departments recruitment and retention activities, taking action to ensure adequate staff and leadership in care management.
Actively engages with post-acute care entities to improve patient care transitions and decrease readmissions.
Leverages and leads technology change management to improve staff efficiencies, drive positive patient outcomes, and maximize the tools care managers utilize to perform their roles.
Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services. Ensures compliance with CMS CoPs for Discharge Planning as well as related federal and state regulations.
Responsible to participate in Corporate Care Management meetings, cascade information, and implement strategies with standard work and processes.
Develops and oversees the implementation and compliance with Care Management policies and standard operating procedures.
Collaborates with interdisciplinary hospital leaders and executives to achieve organizational goals.
Develops and meets operational budget performance with oversight to assure capital and fiscal accountability.
Partners with Utilization Management for the Utilization Review Committee as well as day-to-day operations.
Identifies improvement opportunities and develops, implements, and monitors action plans.
Educates and mentors facility Care Management staff and the interdisciplinary teams on data, outcomes, and opportunities.
Knowledge, Skills, and Abilities:
Understanding of medical necessity for appropriate patient status and level of care
Understanding of Care Management best practices
Ability to research and reason best practices to support process improvement
Strong verbal and electronic communication skills
Ability to analyze, evaluate and monitor data in addition to provide action plans
Supports positive employee relations and customer experience
Understanding of Microsoft Office Products and other appropriate software platforms
Understanding of CMS Conditions of Participation for Discharge Planning
Understanding of Managed Care and Value Based Programs
Ability to work autonomously with self-direction
Ability to work as a collaborative partner of a diverse leadership team
Ability to lead and sustain change
Knowledge of change management principles, methodologies, and tools [Required]
Sustained goals of Care Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Care Management program [Preferred]
Education:
Bachelor's in Nursing [Required]
Master's in Nursing [Preferred]
Work Experience:
5+ direct care management experience [Required]
3+ care management leadership experience [Required]
2+ frontline nursing experience [Required]
Licenses and Certifications:
Registered Nurse (RN) [Required]
Accredited Case Manager (ACM) [Preferred]
Certified Case Manager (CCM) [Preferred]
Physical Requirements: Physical Requirements - https://tinyurl.com/msy4mja2
Pay Range: $94,083.61 - $175,003.55
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
#J-18808-Ljbffr
together
we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule: Full time
Shift: Day (United States of America)
Address: 7050 GALL BLVD
City: ZEPHYRHILLS
State: Florida
Postal Code: 33541
Job Description:
Oversees the departments recruitment and retention activities, taking action to ensure adequate staff and leadership in care management.
Actively engages with post-acute care entities to improve patient care transitions and decrease readmissions.
Leverages and leads technology change management to improve staff efficiencies, drive positive patient outcomes, and maximize the tools care managers utilize to perform their roles.
Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services. Ensures compliance with CMS CoPs for Discharge Planning as well as related federal and state regulations.
Responsible to participate in Corporate Care Management meetings, cascade information, and implement strategies with standard work and processes.
Develops and oversees the implementation and compliance with Care Management policies and standard operating procedures.
Collaborates with interdisciplinary hospital leaders and executives to achieve organizational goals.
Develops and meets operational budget performance with oversight to assure capital and fiscal accountability.
Partners with Utilization Management for the Utilization Review Committee as well as day-to-day operations.
Identifies improvement opportunities and develops, implements, and monitors action plans.
Educates and mentors facility Care Management staff and the interdisciplinary teams on data, outcomes, and opportunities.
Knowledge, Skills, and Abilities:
Understanding of medical necessity for appropriate patient status and level of care
Understanding of Care Management best practices
Ability to research and reason best practices to support process improvement
Strong verbal and electronic communication skills
Ability to analyze, evaluate and monitor data in addition to provide action plans
Supports positive employee relations and customer experience
Understanding of Microsoft Office Products and other appropriate software platforms
Understanding of CMS Conditions of Participation for Discharge Planning
Understanding of Managed Care and Value Based Programs
Ability to work autonomously with self-direction
Ability to work as a collaborative partner of a diverse leadership team
Ability to lead and sustain change
Knowledge of change management principles, methodologies, and tools [Required]
Sustained goals of Care Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Care Management program [Preferred]
Education:
Bachelor's in Nursing [Required]
Master's in Nursing [Preferred]
Work Experience:
5+ direct care management experience [Required]
3+ care management leadership experience [Required]
2+ frontline nursing experience [Required]
Licenses and Certifications:
Registered Nurse (RN) [Required]
Accredited Case Manager (ACM) [Preferred]
Certified Case Manager (CCM) [Preferred]
Physical Requirements: Physical Requirements - https://tinyurl.com/msy4mja2
Pay Range: $94,083.61 - $175,003.55
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
#J-18808-Ljbffr