Vice President Case Management

1 month ago

st louis, United States SSM Health Full time

It's more than a career, it's a calling

MO-SSM Health Mission Hill

Worker Type:

Regular

Job Highlights:

PRIMARY RESPONSIBILITIES

  • Establishes strategy, direction and goals for the overall care coordination function, with a focus on quality, process improvement, productivity and value. Facilitates process and organizational design to ensure operational efficiencies and improved performance outcomes.   
  • Collaborates with leadership and other departments to facilitate communication to advance the organization's goals and objectives. Integrates care coordination into other department workflows through influence, communication, and relationships to support the continuum of care and aide in quality care.   
  • Utilizes data analytics and trending to forecast future needs, programs to improve functional areas with increased patient quality outcomes and reduced costs with efficient processes. Uses internal and external benchmarks to drive high quality outcomes. Monitors progress, existing and new programs, making modifications as needed to ensure success. Communicates progress, risks, issues, and mitigation to senior leadership to proactively drive resolution.  
  • Participates in formulating strategies to drive patient engagement, population health and utilization improvement efforts within care management teams and across the organization.     
  • Ensures case management teams meet the clinical and social needs of patients. Develops and establishes policies and processes to ensure teams are integrated into the direct patient provider team or other relevant teams as appropriate. Ensures effective interactions, information and education for physicians and employees to achieve clinical utilization outcomes and exceptional patient and financial outcomes.  
  • Works with clinical, product and other teams to identify and implement innovative care management programs. Develops and coordinates strategies for ensuring delivery of care in the most appropriate, lowest cost setting environments.   
  • Assumes fiscal responsibility for budgetary planning and implementation for assigned areas. 
  • Maintains an ongoing awareness of select regulatory requirements. 
  • Recruits, engages, develops, leads, and manages assigned staff.  
  • Works in a constant state of alertness and safe manner. 
  • Performs other duties as assigned. 

EDUCATION

  • Master’s degree
  • Must have a valid RN license in WI, MO, IL, and/or OK

EXPERIENCE

  • Ten years' experience, with five years' in leadership

Named 150 Top Places to Work in Healthcare 2023 - Becker's Healthcare

Named One of America's Greatest Workplaces for Diversity 2023 - Newsweek

Named One of America's Greatest Workplaces for Women 2023 - Newsweek

SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization’s 40,000 team members and more than 12,800 providers are committed to providing exceptional health care services and revealing God’s healing presence to everyone they serve.
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With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 13 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves.

To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact:

Angela Jones

Executive Talent Acquisition

SSM Health is committed to equal employment opportunity based on race, color, religion, national origin, gender, sexual orientation, gender identity, pregnancy, age, physical or mental disability, veteran status, and all other statuses protected by law.

#LI-Onsite

 

Job Summary:

This is NOT a remote position. This position will be based in St. Louis, MO. Relocation assistance is available. Some travel within our 4 state footprint of WI, IL, MO, OK will be required.

Job Responsibilities and Requirements:

Drives the success of care coordination programs system wide, including case management, social work, care transitions and total care progression providing the vision, strategic guidance, direction, and overall management to improve clinical and financial outcomes. Facilitates transformative care by managing key performance indicators (KPIs) related to health service utilization, quality, expenses and other critical factors in alignment with value-based care.

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

System Care Coordination

Scheduled Weekly Hours:40

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.

Benefits SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. 
  • Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). 
  • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
  • Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 

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