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Director Care Management

2 months ago

Marquette, United States i4 Search Group - Healthcare Recruiting Full time

Job Description:

We are looking to hire a professional and passionate Director, Care Management to work in a crucial leadership role in overseeing and optimizing the care management services within our organization. This position requires a strong understanding of healthcare systems, care coordination, and administrative operations. The Director, Care Management is responsible for developing and implementing effective care management strategies, ensuring compliance with regulatory guidelines, and promoting the delivery of high-quality and patient-centered care.

Responsibilities:

  • Strategy Development: Develop and implement strategic plans for the care management department, aligning goals with the organizations mission and objectives. Identify opportunities for improvement and innovative approaches to enhance care management services.
  • Team Leadership: Provide strong leadership and guidance to the care management team, fostering a collaborative and supportive work environment. Recruit, train, and mentor care management staff, ensuring their professional development and adherence to established standards.
  • Care Management Program Oversight: Oversee the development, implementation, and evaluation of care management programs, policies, and protocols. Ensure effective utilization of resources and efficient coordination of care across various departments and healthcare providers.
  • Quality Assurance: Establish and monitor quality assurance measures to ensure adherence to regulatory requirements, industry standards, and best practices. Conduct regular audits, analyze performance metrics, and implement improvements to enhance the quality and efficiency of care management services.
  • Collaboration and Communication: Foster strong relationships and effective communication with interdisciplinary teams, including physicians, nurses, social workers, and other healthcare professionals. Collaborate with key stakeholders to develop and implement care management initiatives that enhance patient outcomes and satisfaction.
  • Compliance and Regulatory Compliance: Ensure compliance with relevant healthcare regulations, privacy laws, and accreditation standards. Stay updated with industry trends, changes in regulations, and emerging best practices to maintain a compliant care management program.
  • Performance Management: Develop performance metrics and goals for the care management team. Monitor performance, provide regular feedback, and implement strategies to optimize team productivity and efficiency.
  • Financial Management: Collaborate with finance and budgeting teams to develop and manage the care management departments budget. Identify cost-saving opportunities and strategies to maximize resources while maintaining high-quality care management services.
  • Continuous Improvement: Drive continuous improvement initiatives within the care management department, focusing on enhancing workflows, streamlining processes, and adopting technology solutions to optimize care coordination and patient outcomes.

Job Benefits:

  • Competitive salary
  • Direct Deposit
  • 401K
  • Comprehensive Health, Dental, and Vision benefits
  • Employee discount program
  • Excellent room for growth and advancement

Requirements:

  • Current Registered Nurse (RN) license in Michigan.
  • Bachelor’s Degree in Nursing (BSN) required – Master’s Degree preferred. 
  • 4 years management experience.
  • 2 years case management experience.
  • Basis Life Support Healthcare Provider (BLS-HCP) certfication.