Care Management Director

3 days ago

White Plains, New York, United States White Plains Hospital Full time
Job Summary

White Plains Hospital is seeking a highly skilled and experienced Care Management Director to lead our Care Management team. As a key member of our leadership team, you will be responsible for ensuring the delivery of high-quality patient care services in accordance with established hospital, departmental, and regulatory standards.

Key Responsibilities
  • Develop and implement departmental goals and objectives that align with the hospital's mission and strategic plan.
  • Oversee the overall operations of the Care Management department, including quality assurance and performance improvement initiatives.
  • Manage personnel, including interviewing, recommending hires, evaluating, counseling, and recommending terminations of employees.
  • Develop and submit operating and capital budgets, and report variances on a monthly basis.
  • Ensure compliance with state regulations and accreditation standards.
  • Assure completion of staff orientation, annual, and ongoing competency and education requirements.
  • Participate in continuing education programs and other related activities to maintain current level of skills and expertise.
  • Participate in committees, task forces, and projects as required.
Requirements
  • Bachelor's Degree in Nursing with RN License required, Master's Degree in Nursing preferred.
  • 5 years managerial experience within the acute hospital.
  • Previous experience as a case manager required.
  • Knowledge of healthcare financial, regulatory, and payer issues setting required.
  • Knowledge of state, local, and federal programs required.
  • Experience with Milliman/Interqual criteria required.
  • PRI/Screen certification preferred.
  • C.C.M. certification preferred.
Core Competencies
  • Demonstrates ability to establish two-way communication, by clearly defining expectations, and functions, based on regulatory requirements and hospital policies.
  • Demonstrates ability to delegate responsibilities appropriately.
  • Demonstrates ability to retain composure under stress.
  • Escalates issues to the director, as soon as they occur, to come up with joint resolutions, for safe care and interventions.
Physical/Mental Demands/Requirements & Work Environment

May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital's SDS (Safety Data Sheet) database and may be accessed through the hospital's Intranet site (Employee Tools/SDS Access). A copy of the SDS database can also be found at the hospital switchboard, saved on a disc.

Must be physically able to move quickly throughout the work environment and the hospital. Must be able to utilize a computer with Microsoft office experience. Must be able to read and write, using analytical skills to interpret and data and make necessary conclusions and recommendations.

Demonstrates ability to follow written and oral instructions required for the position. Demonstrates ability to analyze multidimensional problems and tasks, into manageable components and sort out actions/plans in order of priorities, to solve the problem/issues.

Must be able to communicate with patients and others in a caring and sensitive and warm manner and help the staff to visually assess a patient's affect and body language.

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