Senior Manager

1 week ago


Lebanon, New Hampshire, United States Dartmouth-Hitchcock Medical Center Full time
Overview


The Director of Care Management oversees comprehensive Care Coordination operations, including Capacity Coordination, Social Work, Navigation, and Case Management. This role is pivotal in executing the strategic care coordination plan for the health system and health plan, focusing on organizing and directing an integrated care management program that monitors individual and aggregate cases to ensure the attainment of health system and health plan objectives.

Key Responsibilities

- Collaborate closely with the VP of Care Coordination and Chief Nursing Officers to align tactics with current performance metrics and the vision for the care coordination program, ensuring compliance with all regulatory standards.

- Ensure timely patient care progression and appropriate resource utilization, along with safe discharge planning.

- Utilize data analytics to enhance system care coordination performance and address barriers to successful outcomes in collaboration with physicians and departmental leaders.
Performance Improvement

- Identify root causes of care coordination challenges and lead initiatives aimed at improving performance metrics such as Length of Stay (LOS), avoidable days, readmissions, and payer denials.

- Manage and disseminate Care Coordination data to executives and department leaders, ensuring transparency and informed decision-making.
Personnel Development

- Play a crucial role in the professional growth of Care Coordination leaders and staff through mentoring and coaching.

- Collaborate with system leaders to establish the operational framework for the department and develop standardized roles and staffing models.
Policy and Compliance

- Draft and recommend policies and procedures for Care Coordination, ensuring alignment with recognized standards of care and regulatory requirements.

- Monitor compliance with regulatory standards, representing the organization at various meetings and professional gatherings.
Qualifications

- A Master's degree in a clinical or health-related field is required.

- A minimum of five to seven years of leadership experience in care coordination, case management, or utilization review within an integrated healthcare system is essential.

- Nationally recognized certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM) are preferred.

- Strong leadership, communication, and analytical skills are vital, along with a comprehensive understanding of clinical systems and patient information systems.
Licensure

- Licensed Registered Nurse in New Hampshire is required.

- Certification as an Accredited Case Manager or similar is mandatory.

Area of Interest:
Nursing;

FTE/Hours per pay period: 1.00 – 1.00 – 40 hrs/week;

Shift: Day;

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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