Director of Care Coordination
1 month ago
Job Title: Director of Care Coordination
Job Summary:
Elliot Health System is seeking a highly skilled and experienced Director of Care Coordination to lead the execution of strategic development for Care Coordination across the healthcare system. The successful candidate will build and maintain a comprehensive patient-centered division with a focus on positive clinical, fiscal, and compliance outcomes.
Key Responsibilities:
- Develop and implement a strategic plan for the division that takes into account internal and external factors, follows industry best practices, and prioritizes institutional goals.
- Effectively engage in the provision of education and communication of the plan throughout the organization.
- Facilitate the transition of patients/families across the continuum by establishing relationships with appropriate providers and community services.
- Partner with clinical leadership to provide expertise and support to improve performance in payor designated quality outcomes and contractual obligations related to care coordination.
- Develop tools that display actionable critical outcome factors that focus on value, including utilization and quality metrics such as Length of Stay, readmissions, care gap closure rates, and denial rates.
- Review findings with the Executive Team and provide feedback and support for redeployment of resources and workflows to optimize Care Coordination sensitive data findings.
- Co-chair the Utilization Management Oversight Committee and establish policies, procedures, and protocols for departmental functions.
- Ensure the Utilization Management Plan is current and compliant with CMS and other regulations.
- Create processes to anticipate and address specific situations within the department, including long stay patients, post-acute resource referral lists, denials, and termination of benefits.
- Create a system for initial and ongoing education and development of staff and provide timely and effective departmental and organizational communication.
Requirements:
- Master's Degree in Nursing, Business Administration, Health Administration, Social Work, or related field required.
- Five years of progressive experience in Care Coordination leadership required. Strong clinical background, experience in care coordination, discharge planning, and overall case management experience preferred.
- Valid Nursing or LICSW credentials required. Nationally recognized care management certification preferred.
What Elliot Health System Offers:
- Health, dental, prescription, and vision coverage for full-time & part-time employees.
- Short-term disability, long-term disability, and life insurance coverage.
- Competitive pay.
- Tuition Reimbursement.
- 403(b) Retirement Savings Plan.
SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
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