Care Coordination Director
2 weeks ago
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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