Care Coordination Director

2 weeks ago


Roseburg OR, United States Catholic Health Initiatives Full time
Care Coordination Director Job Description

At Catholic Health Initiatives, we are seeking a highly skilled and experienced Care Coordination Director to join our team. As a key member of our healthcare organization, you will play a critical role in ensuring the delivery of high-quality patient care and services.

Key Responsibilities:
  • Provide leadership and direction to the care coordination department, including staff supervision, team building, and performance management.
  • Develop, implement, and evaluate care coordination programs and strategies to optimize patient care, resource utilization, and quality outcomes.
  • Ensure compliance with all relevant healthcare regulations, accreditation standards, and organizational policies.
  • Oversee daily operations of care coordination, including staff supervision, budget management, and resource allocation.
  • Lead improvement groups and collaborate with healthcare providers, insurance companies, and other internal and external stakeholders to coordinate patient care and facilitate communication across the care continuum.
  • Monitor and analyze data related to care coordination activities, patient outcomes, and resource utilization to drive decision-making and improvements.
  • Train and evaluate care coordination staff to ensure they are aware of and implementing system initiatives, possess the skills and knowledge necessary for effective performance, and complete required education.
  • Advocate for patients' needs and rights, ensuring they receive appropriate care and support throughout their healthcare journey.
  • Maintain effective communication with system, regional, market, and care facility leadership, clinical staff, and external stakeholders to facilitate efficient care coordination operations.
  • Drive and engage multidisciplinary teams and committees to address complex patient care issues and develop integrated plans of care.
  • Ensure and monitor established goals and key performance indicators (KPIs) to drive continuous improvement.
  • Collaborate with Utilization Management Hub leaders on trends and opportunities, ensuring action plans are developed to address identified gaps.
  • Direct recruitment, performance management, coaching, mentoring, training, and development of care coordination staff and leaders.

Qualifications:

  • Oregon RN license or LCSW
  • National certification in CCM (Certified Case Manager) or ACM (Accredited Case Manager) within 2 years of hire
  • 4 years clinical care coordination experience (Utilization Management, Denial Management, Care Coordination) or 5 years progressively responsible management experience
  • Extensive operational experience, program planning, implementation, staff development, and needs assessment in a healthcare environment
  • Comprehensive knowledge of care coordination and discharge planning
  • Experience with data analytics related to cost containment, over/under utilization assessment, and clinical outcomes preferred

Education:

  • Bachelor's Degree in Nursing or Master's Degree in Social Work or equivalent education and experience
  • Master's Degree in Nursing, Healthcare Administration, or related clinical field preferred

Pay Range: $49.08 - $71.16/hour

We are an equal opportunity/affirmative action employer.



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