Create a Job Alert.

Enter your email below to save this search and receive job recommendations for similar positions.
Thank you. We'll send jobs matching these to
You already suscribed to this job alert.
No Thanks
US
What job do you want?

Director of Care Management - Full Time - Days job in Daytona Beach at AdventHealth Daytona Beach

Create Job Alert.

Get similar jobs sent to your email

Apply to this job.
Think you're the perfect candidate?
Apply on company site

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
Director of Care Management - Full Time - Days at AdventHealth Daytona Beach

Director of Care Management - Full Time - Days

AdventHealth Daytona Beach Daytona Beach, FL Full-Time
Apply on company site

Create Job Alert.

Get similar jobs sent to your email


Description

Director of Case Management AdventHealth Daytona Beach

Location Address: 301 Memorial Medical Parkway Daytona Beach, FL 32117

Top Reasons To Work At AdventHealth Daytona Beach

  • Immediate Health Insurance Coverage
  • Great benefits such as: Educational Reimbursement
  • Career growth and advancement potential
  • High quality of life with low cost of living on the shores of sunny Daytona Beach, FL

Work Hours/Shift:

Full Time Days

GENERAL SUMMARY:
The Care Management Facility Director has full accountability and oversight for the overall operations of the Care Management department, including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social Services, Readmission Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager’s roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team member evaluations and customer experience.
The Care Management Facility Director leads, manages, and supervises all activities of the Care Management Manager, Team Leads, Care Managers, Social Workers and Care Manager Assistants to ensure appropriate care coordination and care transition handoffs for all patients. The Care Management Facility Director will provide monthly metric reports and mitigation plans to the Care Management Divisional Director.
The Care Management Facility Director reports directly to the Division Care Management Director with a matrix reporting relationship dotted line to the Facility CNO. The Care Management Facility Director works closely with the Facility CNO to implement the Corporate Care Management strategies. The Care Management Facility Director meets regularly with the CMO to align Care Management work with Providers and keep the CMOs updated. The Facility Care Management Director communicates regularly with the CFO to provide a bidirectional communication to keep Facility CFOs updated on Care Management initiatives and progress.

Qualifications

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:
● Directs the daily operations of the Care Management department, including all aspects of care coordination, care transition and compliance guidelines
● Implements the Corporate Care Management strategies
● Responsible for providing and or implementing strategies to improve operations and outcomes
● Determines proactive strategies and methods necessary for a high-performance culture related to Care Management
● Supports change management and movement toward interaction with outpatient Care Management
● Assists in the development and oversees the implementation of Care Management policies, procedures, and standards
● Participates in the development of new staffing and care designs that support system goals while achieving best in class performance
● Supports standards that are consistent with hospital, community and nationally recognized evidence-based practice
● Collaborates with C-Suite and other hospital leaders to maintain a collaborative professional relationship to achieve goals
● Works collaboratively with leaders of Utilization Management to quickly and efficiently address any Care Management or Utilization Management concerns or barriers
● Escalates operational and/or financial concerns to Physician Advisor(s) as appropriate
● Determines proactive strategies and methods necessary for a high-performance culture related to Care Management
● Identifies process improvement opportunities and develops, implements and monitors action plans based upon identified Care Management metrics
● Educates and mentors facility Care Management staff on interpretation of data and the performance of causal analysis; Reports findings to appropriate facility and divisional leaders
● Achieves positive results for the organization related to investigations of complaints requiring the Director's direct involvement
● Available for one-on-one meetings with a wide range of stakeholders for education/development and problem solving
● Maintains excellent professional relationships with facility and divisional leadership
● Communicates and collaborates across the facility in the areas of data and information management, performance improvement, care coordination, care transition management, medication management, and social services
● Provides leadership to and actively participates with facility staff to identify, implement, or enhance Care Management programs consistent with AdventHealth and facility strategy
● Ensures the facility's Care Management staff are practicing at the highest level of excellence
● Oversees the effectiveness of the department’s recruitment and retention program, taking action as necessary to provide an adequate level of qualified staff
● Coaches/mentors staff to improve their performance and develop their professional skills
● Identifies leadership talent and actively develops leadership skills in staff
● Supports diversity objectives of the organization in recruiting and promoting
● Creates and implements change management strategies and plans that maximize employee adoption and minimize resistance
● Compiles and reviews budgets and justifications submitted by Care Management Manager
● Provides assistance to the Care Management Manager and Supervisor to develop action plans that address variances
● Utilizes management reports to evaluate budget and staffing variations
● Assists Care Management Divisional Director with operating budget for Care Management

KNOWLEDGE AND SKILLS REQUIRED:
● 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

KNOWLEDGE AND SKILLS PREFERRED:
● 3-5 years of Director and/or Manager of Care Management level of experience
● Sustained goals of Care Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Care Management program

EDUCATION AND EXPERIENCE REQUIRED:
● Registered Nurse: BSN
● Social Worker: MSW or BSW + Masters in related field
● 5 years of Care Management experience performing hospital discharge planning
● 3 years of Manager level (or above) experience in Care Management/Social Work leadership

EDUCATION AND EXPERIENCE PREFERRED:
● Registered Nurse: MSN
● Social Worker: MSW with LCSW
● 5-7 years in Care Management leadership (manager level or above) in addition to 5 years of direct Care Management/Utilization Management experience and increasing leadership responsibility

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
● State Specific RN license if a nurse
LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:
● RN-BC Certification in Care Management


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
 

Recommended Skills

Business Process Improvement
Recruitment
Industrial Relations
Employee Engagement
Managed Care
Medicaid
Apply to this job.
Think you're the perfect candidate?
Apply on company site

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: 21005109

CareerBuilder TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.