Director-Care Management Operations

Duties and Responsibilities

Essential Functions:

• Oversees analysis of length of stay, progression of care and utilization trends and works with hospital leadership to address and solve problems.
• Oversees the acute care function and policy development of care management including care management, Social Services and care coordination, compliance and regulatory standards.
• Manages the Care Management operations staffing and budget in designated region for both inpatient and ambulatory care management functions and coordinates with peer Care Management leadership throughout the System.
• Identifies care management programming needs which require care management across the continuum. Collaborates with regional leadership team members on the operations of these programs.
• Works with leadership in the WellSpan hospital, Medical Group and Post-Acute services to coordinate care management activities across the continuum of care
• Leads strategic goals/ priorities that supports business transformation, population health functions and care coordination in collaboration with the appropriate leadership members.
• Oversees staffing levels, selects and assigns staff, evaluates performance, evaluates/tests competencies (as applicable), provides orientation, training and continuing education of staff, and initiates or makes recommendations for personnel actions.
• Develops budget(s) for the department/unit/entity and allocates funds within budget(s) to accomplish objectives. Monitors variance against budget(s).
• Coordinates and integrates services within the department/service line/entity, with other departments/service lines/entities, and with the System's primary functions. Participates in the selection of outside services (if needed).
• Continuously assesses and improves the department/service line/entity/System's performance. Maintains appropriate quality control/assessment programs (if applicable).
• Develops and initiates educational programs regarding utilization management principles, care management and social work.

Common Expectations:

• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.