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Director of Care Management - Full Time - Days

Company: AdventHealth Daytona Beach
Location: Daytona Beach
Posted on: May 3, 2021

Job 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

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 Managers 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.


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 departments 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

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

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

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

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

State Specific RN license if a nurse
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.

Keywords: AdventHealth Daytona Beach, Daytona Beach , Director of Care Management - Full Time - Days, Other , Daytona Beach, Florida

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