Senior Director of Care Coordination
2 weeks ago
We are seeking a highly skilled and experienced leader to join our team as the AVP of Care Coordination at Atrium Health Wake Forest Baptist. As a key member of our leadership team, you will be responsible for developing and implementing strategies to improve care coordination across our system.
Key Responsibilities- Develop and implement standardized tools, roles, and systems to support care coordination services, including case management, social work, and utilization review.
- Establish metrics and achieve targets for care coordination services to meet regulatory requirements, system goals, and local campus goals.
- Lead the development of a network of care coordination colleagues across the country to maintain awareness of ongoing regulatory and legislative changes and methods to maintain compliance.
- Establish partnerships with executives, medical staff, chief nursing officers, chief medical officers, patient financial services, and other key leaders across the health system related to care coordination, post-acute services, service affiliations, and joint ventures.
- Participate in review of organizational system contracts for issues pertaining to denials management, timelines for authorization of services, and other case management-related agreements.
- RN or MSW degree required.
- Master's degree in nursing or social work required. Master's degree in related health or business field desirable (MHA, MBA).
- Eight years of progressive acute care management leadership experience in an integrated, multi-campus health system, preferably with an academic medical center.
- Experience in strategic planning and program development at a system level preferred.
- Working knowledge of chronic conditions, evidence-based guidelines, prevention, and wellness.
- Able to develop chronic disease management strategies and appropriate protocols and guidelines.
- Demonstrated program/project management and data analysis skills in population health management, including population health analytics and disease management, and financial optimization.
- Experience in developing education curriculum and programs for care management.
- Solid working knowledge of managed care and governmental payment policies.
Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina. We are part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the third-largest nonprofit health system in the United States. Our system includes an integrated clinical system, anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem, as well as Wake Forest School of Medicine, the academic core of Atrium Health Enterprise.
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