Care Coordination Director

4 days ago


Augusta, Georgia, United States Wellstar Health System, Inc. Full time
Job Summary

The Director of Care Coordination will play a pivotal role in driving strategies that align with the hospital's performance and vision for the care management program. This individual will work closely with senior leadership to build and implement strategies that promote timely patient throughput, appropriate care, and safe disposition planning. The director will be responsible for ensuring adherence to the system's Utilization Management Plan and care coordination policies and procedures, as well as CMS and other Payer regulations. Additionally, they will collaborate with physicians and other departmental leaders to address barriers to CM outcomes such as length of stay, avoidable days, readmissions, and payer denials.

Key Responsibilities
  • Develop and implement care coordination processes that promote efficient patient flow and reduce length of stay
  • Collaborate with physicians and other departmental leaders to address barriers to CM outcomes
  • Ensure adherence to system policies and procedures, as well as CMS and other Payer regulations
  • Manage and interpret data to drive performance improvement initiatives
  • Recruit, develop, and mentor staff to ensure high-quality care coordination services
Requirements
  • Bachelor's degree in Nursing or Master's degree in Social Work required
  • Master's degree in Public Health or Health Administration preferred
  • Minimum 3 years of management experience in case management or quality and patient safety
  • Minimum 6 years of experience in a hospital environment
  • Strong supervisory experience and clinical practice/experience in licensed field


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