Director of Care Management - Full Time - Days
Company: AdventHealth Daytona Beach
Location: Daytona Beach
Posted on: May 3, 2021
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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 Work Hours/Shift: Full Time Days GENERAL SUMMARY: PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:
Description
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
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.
Keywords: AdventHealth Daytona Beach, Daytona Beach , Director of Care Management - Full Time - Days, Other , Daytona Beach, Florida
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