Director Care Management Registered Nurse

01 Kaweah Delta Health Care District; Visalia (CA); On-site; USD 120,000 - 180,000; Full time

Job summary

Kaweah Health in Visalia, CA seeks an experienced case management leader to oversee daily operations across Case Management, Utilization Management, and Patient Throughput. You will direct clinical documentation improvement efforts and ensure care delivery aligns with strategic goals and regulatory standards.

The role emphasizes collaboration with nursing leadership, physicians, and professional staff to optimize patient flow, quality outcomes, and cost-effective resource use while mentoring

Qualifications

• License /Certification Required: CA RN license
• Education Preferred: Masters degree in Nursing, Public Health, Business, Healthcare Administration, or related discipline
• Experience Required: Five years of management experience in healthcare leadership
• Three years case management experience
• Preferred: Three years of leadership experience in patient throughput or patient flow operations
• Knowledge/Skills/Abilities: Leadership, collaboration, negotiation, change management, strategic planning, and strong communication skills

Responsibilities

• Oversee daily operations and directing all aspects of throughput related care including Case Management, Utilization Management, Patient Throughput and Clinical Documentation Improvement
• Hold direct reports accountable for meeting standards of professional practice and patient care
• Directs the delivery of patient care in areas of responsibility per care plan and nursing plan
• Collaborate with Directors to coordinate staff work for effective patient care and achieve core measures

Skills

Leadership

Case Management

Communication

Financial/Analytical

Project Management

Education

Masters degree in Nursing

Public Health

Healthcare Administration

Business

Job description

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 8790 Case Management The purpose of this position is to orchestrate and influence the work of others to enhance Kaweah Health's mission and vision and to achieve strategic priorities of the nursing division. Demonstrates high-level leadership accountability focused on safety and the requisite infrastructures necessary to meet expectations of the patients and families served.

QUALIFICATIONS

• License /Certification Required: CA RN license
• Preferred: National certification in Nursing Leadership, Case Management Certification
• Education Preferred: Masters degree in Nursing, Public Health, Business, Healthcare Administration, or related discipline
• Experience Required: Five years of management experience in healthcare leadership.
• Three years case management experience.
• Preferred: Three years of leadership experience in patient throughput or patient flow operations.
• Knowledge/Skills/Abilities Ability to build alliances and lead: demonstrates honesty, integrity, and follow-through on commitments, anticipates internal/external customer needs and meets expectations, strives for collaboration, supports others and team results, ability to manage different perspectives and find win-win solutions. Demonstrated leadership and complex organizational management skills. Strong financial/analytical skills, solid verbal/written communication skills, problem identification and resolution skills, decision-making ability, and the ability to develop/mentor teams that have overt and covert interests. Strong operational skills; ability to recognize workflow problems and redesign new process/workflow and create buy-in from internal and external customers, stakeholders, gatekeepers, and regulators, and the ability to initiate and manage change. Ability to work with physicians, staff and professionals in multiple settings and to promote diversity. Strong negotiation skills. Well-developed planning, marketing, organizational development and business skills. Active in community and professional organizational influence concepts, internal & external.

JOB RESPONSIBILITIES

Essential Responsible for overseeing daily operations and directing all aspects of throughput related care including Case Management, Utilization Management, Patient Throughput and Clinical Documentation Improvement. Holds direct reports accountable for meeting standards of professional practice and patient care. Directs the delivery of patient care in the areas of responsibility in concordance with the plan for the provision of care and service, and the plan for the provision of nursing care at Kaweah. Collaborates with Directors to coordinate the work of staff to maintain effective and efficient patient care. Responsible for assisting in achieving core measure and value-based purchasing goals. Manages financial resources. Participates in nursing policy formulation and decision-making. Develops, implements, evaluates and, as necessary, revises the plan for the provision of care and service in assigned services areas. Contributes to, and coordinates services with, the development, implementation and evaluation of Kaweah’s plan for the provision of care and services. Acts as a resource person and shows evidence of interpreting hospital policy to staff, patients and visitors. Continuously asses and improves department performance. Contributes to the continuous improvement of patient care and services. Contributes to staff development. Provides orientation, in-services and continuing education for staff. Demonstrates knowledge of CMS, CDPH, quality improvement organization (QIO), California Children’s Services (CCS), Title 22, and Title 9 requirements related to patient care. Communication with key constituencies, acts as resource and liaison with medical personnel and outside agencies. Enhances professional growth and maintains awareness of current industry trends, legislation or research which could impact the department and KDH Develops and directs a case management model and method, in collaboration with the medical staff, which facilitates and supports the physicians' management of their patients through the healthcare system to assure cost effective use of resources and achieve quality outcomes Develops and implements policies and procedures consistent with Kaweah's Mission that guide and support the Provision of Services Plan. Determines the qualifications and competence level for department staff. Makes recommendations regarding required staffing levels. Recommends requirements for space and other resources. Participates in selecting outside sources for needed services. Enhances professional growth and maintains awareness of current industry trends, legislation or research which could impact the department and Kaweah Health. Responds to emergency situations, i.e. Code Blue and disasters or any situation that interferes with smooth running of the hospital. Assumes administrative responsibilities and assists in solving problems for hospital operations at all KH campuses when appropriate. Responsible for care coordination and care management activities, high risk patient identification, and development of provider hospital-based disease management programs in conjunction with the population health management teams. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care.

Pay Range $0.01 -$999.00

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong. Keep growing your career! Kaweah Health is committed to a culture that delivers personal, professional, and compassionate experiences for every person, every time.