Director Care Management
Suburban Hospital, Takoma Park, MD, United States
Suburban Hospital
has an opportunity for an experienced
Director of Care Management & Population Health . This seasoned healthcare leader oversees comprehensive care coordination operations within a hospital setting and provides strategic direction for care coordination, utilization review, social services, and discharge planning to ensure high?quality, cost?effective patient care. The role demonstrates strong expertise in care coordination, utilization review, case management, discharge planning, and population health, with in?depth knowledge of hospital policies, regulatory requirements, and the Maryland All?Payer Model. This leader directs evidence?based initiatives to improve quality, reduce costs, and enhance outcomes for targeted patient populations, using data analytics to monitor performance, trends, length of stay, readmissions, and resource utilization. The position partners with Information Systems to implement care coordination technologies, ensures compliance with JCAHO and state and federal regulations, and educates leaders and staff on best practices in case management and population health. The Director collaborates closely with medical staff and hospital leadership to identify trends, address system?level challenges, and enhance care delivery. This role develops and implements care management programs and clinical pathways that optimize resource utilization and improve patient outcomes. In addition, the Director leads population health strategy across the organization, building strong community partnerships and leveraging interdisciplinary teams to advance population health goals. Suburban Hospital is a 228-bed, not-for-profit, community-based hospital in Bethesda, Maryland. Suburban Hospital is a member of Johns Hopkins Medicine and has served Montgomery County and the surrounding area for more than 65 years. The designated trauma center for Montgomery County, Suburban Hospital is fully accredited by the Joint Commission and has earned ANCC Magnet Recognition for nursing excellence. At Suburban Hospital, our greatest passion is our staff members' commitment to delivering the best patient- and family-centered care possible. Qualifications: Bachelor of Science in Nursing, BSN (Required) Master's Degree in Nursing or Healthcare Administration (Preferred) Licensed RN Minimum of 7 years of experience with utilization review, clinical pathways, case management, and disease management 3 years of experience in a management capacity role Requires ability to communicate via documentation, telephone, computer and directly with individuals who possess diverse personalities and levels of professional expertise Requires ability to use various computer applications Requires ability to effectively present information to internal and external groups and audiences Requires ability to read, analyze, and interpret complex regulations and documents, financial and business reports and technical journals Requires proficiency in working with and applying mathematical, statistical and financial concepts
has an opportunity for an experienced
Director of Care Management & Population Health . This seasoned healthcare leader oversees comprehensive care coordination operations within a hospital setting and provides strategic direction for care coordination, utilization review, social services, and discharge planning to ensure high?quality, cost?effective patient care. The role demonstrates strong expertise in care coordination, utilization review, case management, discharge planning, and population health, with in?depth knowledge of hospital policies, regulatory requirements, and the Maryland All?Payer Model. This leader directs evidence?based initiatives to improve quality, reduce costs, and enhance outcomes for targeted patient populations, using data analytics to monitor performance, trends, length of stay, readmissions, and resource utilization. The position partners with Information Systems to implement care coordination technologies, ensures compliance with JCAHO and state and federal regulations, and educates leaders and staff on best practices in case management and population health. The Director collaborates closely with medical staff and hospital leadership to identify trends, address system?level challenges, and enhance care delivery. This role develops and implements care management programs and clinical pathways that optimize resource utilization and improve patient outcomes. In addition, the Director leads population health strategy across the organization, building strong community partnerships and leveraging interdisciplinary teams to advance population health goals. Suburban Hospital is a 228-bed, not-for-profit, community-based hospital in Bethesda, Maryland. Suburban Hospital is a member of Johns Hopkins Medicine and has served Montgomery County and the surrounding area for more than 65 years. The designated trauma center for Montgomery County, Suburban Hospital is fully accredited by the Joint Commission and has earned ANCC Magnet Recognition for nursing excellence. At Suburban Hospital, our greatest passion is our staff members' commitment to delivering the best patient- and family-centered care possible. Qualifications: Bachelor of Science in Nursing, BSN (Required) Master's Degree in Nursing or Healthcare Administration (Preferred) Licensed RN Minimum of 7 years of experience with utilization review, clinical pathways, case management, and disease management 3 years of experience in a management capacity role Requires ability to communicate via documentation, telephone, computer and directly with individuals who possess diverse personalities and levels of professional expertise Requires ability to use various computer applications Requires ability to effectively present information to internal and external groups and audiences Requires ability to read, analyze, and interpret complex regulations and documents, financial and business reports and technical journals Requires proficiency in working with and applying mathematical, statistical and financial concepts