Director Care Management

Jobtome; Arcata (CA); On-site; USD 126,000 - 198,000; Full time

Job summary

Providence is seeking a Director of Care Management RN in Eureka to lead strategic and operational care management initiatives. You will oversee case management, utilization management, discharge planning, and social work services while partnering with medical staff to improve patient outcomes.

You will ensure regulatory adherence, drive performance through data-driven insights, and mentor staff across departments within the regional health system.

Qualifications

• Bachelor's degree in Nursing required.
• Master's degree in Nursing or related healthcare field preferred.
• California RN license required (upon hire).
• 5 years of acute care experience in care management; 3 years in leadership.

Responsibilities

• Strategic and operational planning integrating clinical, administrative, and financial objectives.
• Direct and oversee care management, utilization management, discharge planning, and psychosocial interventions.
• Cultivate relationships with physicians, nursing, and departments to ensure seamless care transitions.
• Track utilization trends, avoidable days, and performance metrics; implement corrective actions.

Skills

Nursing leadership

Strategic thinking

Communication skills

Regulatory knowledge

Financial stewardship

Team-building

Clinical assessment

Problem solving

Interpersonal skills

Decision making

Education

Bachelor's Degree in Nursing

Master's Degree in Nursing or related healthcare field

Tools

Microsoft Office Suite

Case management software

Job description

Calling All Esteemed Leaders!

Are you an exceptional strategist with a fervor for advancing healthcare? Do you excel at navigating multifaceted challenges and steering the future of healthcare delivery? If so, we have an outstanding opportunity awaiting you!

The Role

As the Director of Care Management RN, you will be pivotal in executing our strategic vision. Anchored in the dynamic city of Eureka, you will collaborate with our executive team and key leaders to sculpt the future of healthcare within the region. Your leadership will encompass strategic oversight and operational management of care management functions across acute care ministries, including case management, utilization management, discharge planning, and social work services. You'll ensure seamless care transitions, optimal patient outcomes, and adherence to regulatory standards, while nurturing partnerships with medical staff and community allies. Your guidance will be instrumental in driving performance through strategic planning, data‑driven insights, and continuous improvement efforts aligned with organizational goals and the Quadruple Aim.

What You'll Do

• Strategic Innovator: Formulate and execute annual strategic and operational plans that integrate clinical, administrative, and financial objectives.
• Operational Leader: Direct and oversee care management, utilization management, discharge planning, and psychosocial interventions.
• Collaborative Facilitator: Cultivate robust relationships with physicians, nursing, and other departments to guarantee seamless care transitions.
• Performance Analyst: Track and assess utilization trends, avoidable days, and performance metrics;
  implement corrective actions as necessary.
• Compliance Guardian: Ensure adherence to all regulatory, accreditation, and payer requirements.
• Financial Steward: Manage operational and capital budgets;
  monitor variances and maintain productivity standards.
• Mentor and Guide: Recruit, mentor, and develop staff;
  ensure ongoing education and performance evaluations.
• Community Liaison: Act as a liaison for community care partners to uphold continuity of care.
• Quality Advocate: Lead quality improvement initiatives to enhance patient experiences and outcomes.
• Reporting Specialist: Provide regular updates to regional and ministry leadership on care management performance.
• Learning Champion: Promote a culture of learning and excellence, fostering continuous professional development of staff and self.
• Committee Contributor: Participate and chair (co‑chair) hospital/medical staff committee meetings as required.

What You'll Bring

• Educational Background: Bachelor's Degree in Nursing required;
  Master's Degree in Nursing or related healthcare field from an accredited program (Preferred).
• Experience: 5 years of relevant experience in an acute healthcare setting in care management, coupled with 3 years of progressive leadership experience.
• Licensure: California Registered Nurse License upon hire.
• Leadership Alignment: Leadership abilities consistent with the mission, vision, and values of the Health System.
• Expert Knowledge: Principles and practices of acute care case management and evidence-based care.
• Core Competencies: Strong leadership, strategic thinking, team‑building skills;
  effective communication, negotiation, and relationship‑building abilities.
• Technical Skills: Proficiency in Microsoft Office Suite and familiarity with case management software.
• Regulatory Acumen: Knowledge of requirements and eligibility parameters for payers, MediCal, and Medicare.
• Multi‑Tasking Ability: Capacity to manage multiple priorities and adapt to changing conditions.
• Clinical Expertise: Strong foundation of clinical assessment skills for managing care of clients with complex medical, emotional, and social needs.
• Communication Proficiency: Effective oral and written communication and negotiation skills in conflict situations, skillfully balancing demands without alienating others.
• Problem‑Solving Skills: Critical thinking and problem‑solving abilities to devise innovative solutions and achieve desired results.
• Interpersonal Excellence: Exceptional interpersonal skills with demonstrated diplomacy and teamwork ability;
  effective as a team leader guiding actions to accomplish objectives.
• Judgment and Decision‑Making: Ability to exercise sound judgment for independent decision‑making and seek consultation when deviating from organizational objectives.

Why Join Us

• Impactful Work: Be part of an organization transforming healthcare and enhancing countless lives.
• Empowerment and Innovation: Experience the autonomy and support needed to bring innovative ideas to fruition.
• Professional Collaboration: Work alongside a team of talented and dedicated professionals passionate about their roles.
• Dynamic Environment: Embrace the challenges and rewards of a fast‑paced, ever‑evolving industry.
• Vibrant Locale: Enjoy Eureka's stunning natural beauty and thriving cultural scene.

About Providence

At Providence, our strength lies in Our Promise of 'Know me, care for me, ease my way.' Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best‑in‑class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100‑year tradition of serving the poor and vulnerable.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well‑being resources and much more.

Job Details

• Company: Providence
• Job Category: Care Management
• Job Function: Clinical Care
• Job Schedule: Full time
• Job Shift: Day
• Career Track: Leadership
• Department: 7800 CASE MGMT
• Address: CA Eureka 2700 Dolbeer St
• Work Location: St Joseph Hospital Eureka
• Workplace Type: On‑site
• Pay Range: $91.23 - $144.03

Equal Opportunity Statement

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Fair Chance

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Northern California, Providence provides health care services to Eureka, Fortuna, Healdsburg, Napa, Petaluma and Santa Rosa. Our award‑winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not‑for‑profit network also provides a full spectrum of care with leading‑edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.