Associate Vice President, Clinical Documentation Improvement and Case Management

4 weeks ago


Louisville, Kentucky, United States Baptist Health Full time
Job Summary:

Baptist Health is seeking an experienced Associate Vice President to lead its Clinical Documentation Improvement (CDI) and Case Management teams. This is a remote position requiring residency in KY or IN.

The successful candidate will have direct responsibility for the CDI team and strategic oversight of Hospital Case Management and Utilization Management across all Baptist Health hospitals. They will develop and implement the strategy and operations of CDI in collaboration with system Finance, working closely with Hospital Chief Medical Officers to standardize Case Management and Utilization Management across the system.

Key Responsibilities:
  • Develop and implement system standards and approaches to Case Management and Utilization Management in collaboration with local leadership.
  • Identify opportunities to optimize performance, build internal competencies, and create a more rigorous approach to case management and utilization management for the organization.
  • Ensure regulatory compliance, adherence to established policies, practices, efficiencies, and effectiveness of clinical Case Management, Utilization Management, and Social Work functions within the organization's hospitals.
  • Collaborate with Case Management and Utilization Management leadership and division/facility-based CFOs to develop and implement measurement tools to track and trend operational efficiency and financial performance.
  • Identify the learning and development needs of the facilities' Case Management and Utilization Management and Coding teams, developing plans to ensure continued development.
  • Work with payers to develop collaborative relationships, including appropriate metric development and tracking of payer plan performance.
  • Develop and implement the overall strategy for inpatient CDI operations to address quality, risk adjustment, and financial needs.
Requirements:
  • Masters Degree in a healthcare-related field.
  • 5+ years of experience in Case Management and CDI leadership within a multihospital system.
  • Certified Case Manager (CCM) certification.


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