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Care Coordination Director
2 months ago
CommonSpirit Health is seeking a highly skilled and experienced Care Coordination Director to lead our Care Coordination department. As a key member of our leadership team, you will be responsible for implementing, evaluating, and directing care coordination activities to support our Care Coordination model.
Key Responsibilities- Provide strong leadership and direction to the care coordination department, including staff supervision, team building, and performance management.
- Develop, implement, and evaluate care coordination programs and strategies to optimize patient care, resource utilization, and quality outcomes that align with system-wide Care Coordination.
- Ensure that the care coordination department adheres to all relevant healthcare regulations, accreditation standards, and organizational policies.
- Oversee the daily operations of care coordination, including staff supervision, budget management, and resource allocation in alignment with organizational goals.
- Lead improvement groups and collaborate with healthcare providers, insurance companies, and other internal and external stakeholders to coordinate patient care and facilitate communication across the care continuum.
- Monitor and analyze data related to care coordination activities, patient outcomes, and resource utilization to drive decision-making and improvements.
- Train and evaluate care coordination staff to ensure they are aware of and implementing system initiatives, possess the skills and knowledge necessary for effective performance, and complete required education.
- Advocate for patients' needs and rights, ensuring they receive appropriate care and support throughout their healthcare journey.
- Maintain effective communication with system, regional, market, and care facility leadership, clinical staff, and external stakeholders to facilitate efficient care coordination operations.
- Drive and engage multidisciplinary teams and committees to address complex patient care issues and develop integrated plans of care.
- Ensure and monitor the established goals and key performance indicators (KPIs) to drive continuous improvement.
- Collaborate with Utilization Management Hub leaders on trends and opportunities, ensuring action plans are developed to address identified gaps.
- Direct recruitment, performance management, coaching, mentoring, training, and development of care coordination staff and leaders.
- Oregon RN license or LCSW
- National certification in CCM (Certified Case Manager) or ACM (Accredited Case Manager) within 2 years of hire
- 4 years clinical care coordination experience (Utilization Management, Denial Management, Care Coordination) or 5 years progressively responsible management experience
- Extensive operational experience, program planning, implementation, staff development, and needs assessment in a healthcare environment
- Comprehensive knowledge of care coordination and discharge planning
- Experience with data analytics related to cost containment, over/under utilization assessment, and clinical outcomes preferred
- Bachelor's Degree in Nursing or Master's Degree in Social Work or equivalent education and experience
- Master's Degree in Nursing, Health Care Administration, or related clinical field preferred
