Director Care Management RN-Burbank, CA

Providence; Burbank (CA); On-site; USD 180,000 - 280,000; Full time

Benefits offered by this job

Incentive compensation

Benefits package

Job summary

Providence is seeking a Director of Care Management to oversee care transitions, case management, utilization management, and discharge planning across acute care ministries. You will lead a professional team, develop strategic plans, and drive performance toward patient-centered outcomes and the Triple Aim.

Collaborating with medical staff, Physician Advisors, executives, and community partners, you will ensure regulatory compliance, mentor staff, and report on care management performance and

Qualifications

• Bachelor's Degree in Nursing (if nursing) and California RN license required.
• Master's Degree in Health-related/science field preferred; MSW acceptable.
• Extensive care management leadership in acute care settings.
• Strong knowledge of care transitions, utilization management, and discharge planning.

Responsibilities

• Directly supervise staff and develop their professional growth within areas of responsibility.
• Develop and execute strategic work plans with goals spanning quality, clinical, administrative and financial areas.
• Improve quality, performance, and patient safety while supporting a safe environment.
• Develop budgets and monitor staffing productivity and performance metrics.
• Foster collaboration with medical staff and care partners to optimize transitions and patient experience.
• Oversee Physician Advisor program engagement and education for medical staff.
• Own ministry care transitions across case management, utilization management, discharge planning, and psychosocial interventions.
• Identify negative trends and variances; report performance to ministry and regional leadership.
• Solicit executive guidance when facing challenges; coach and mentor staff and leaders.
• Ensure licensing, regulatory and accreditation compliance at all times.
• Lead and participate in hospital/medical staff committees as required.

Skills

Staff leadership

Care management

Utilization management

Discharge planning

Performance reporting

Regulatory compliance

Education

Bachelor's Degree in Nursing

Master's Degree in Health-related/science field

Master's Degree in Social Work

California RN License

Tools

Microsoft Office

Job description

Calling All Esteemed Leaders!Are you a care management leader who is passionate about optimizing care transitions, improving patient outcomes, and advancing patient-centered care across the continuum? Do you thrive in collaborative environments where case management, utilization management, discharge planning, and interdisciplinary partnership come together to support safe and sustainable care? If so, we invite you to explore this leadership opportunity with Providence.

The Role

The position is accountable for overseeing care transitions, through-put, and optimal care continuum utilization throughout the acute care ministries. At minimum, this will include case management, utilization management, and discharge planning. This will also include responsibilities for social work, and psychosocial interventions that support safe and sustainable care transitions and discharges.

The Director, Care Management (DCM) is accountable for patient care, outcomes, and satisfaction associated with care transition functions. The DCM is accountable for engaging and dynamic leadership that drives performance and outcome that meet or exceed regional and national peers. This includes annually establishing ministry-specific strategic and operational plans (incorporating clinical, administrative and financial goals, objectives and metrics), managing to pre-determined metrics (meeting or exceeding expectations); people management and development; and services that are ultimately patient-centered and focused, and delivery on the Triple Aim.

Critical to the success of the DCM is delivery on customer service and communication, throughout and from all levels of responsibility, that encourage stakeholder engagement, collaboration and which support stakeholder satisfaction. This includes one-to-one interaction and education, presentations, and performance reporting.

What You'll Do

• Directly supervises, manages and fosters professional development of staff within areas of responsibility. Applies uniform standards of practice, supports the recruitment of qualified individuals, and provides ongoing education, evaluation and performance feedback as appropriate.
• Annually develops and engages a strategic work plan that incorporates quality, clinical, administrative and financial goals and objectives. Then actively works and delivers on the plan metrics (meeting or exceeding stated objectives).
• Continuously seeks to improve quality, performance, and outcomes, as well as support a safe environment for all individuals served, and other appropriate stakeholders.
• Develops budget for all areas of responsibility, including staffing productivity and performance metrics. Monitors and manages any variance against budget, with the expectation of meeting or exceeding planned performance.
• Fosters collaborative communication and engagement with the medical staff and other community care partners to support optimal care transitions and patient experience.
• Collaborates with the oversight and management of the ministries Physician Advisor program to ensure appropriate medical staff engagement, education, understanding and compliance.
• Is directly accountable for ministry care transitions related to case management, utilization management, discharge planning, and psychosocial interventions.
• Identifies and acts on negative trends and variances as appropriate.
• Manages regular reporting and communication to appropriate ministry and regional stakeholders regarding care management performance and outcomes.
• Actively seeks out consultation and support to/from executive leadership for challenges related to areas of responsibility, patient care, and patient outcomes.
• Serves as a coach, mentor, educator and advocate for direct reports, medical staff and ultimately the individual served.
• Ensures appropriate licensing, regulatory and accreditation compliance at all times.
• Actively seeks to improve quality and care programming to meet the core objectives of the Triple Aim, and for the benefit of the individuals served.
• Acts as point and liaison for various community care partners that may be involved in care transitions and continuum of care pre/post-hospitalization.
• Supports a culture of learning and excellence, that includes continuous professional development of staff and self.
• Participates and chairs (co-chairs) hospital/medical staff committee meetings as required.

What You'll Bring

Education & Credentials

• Bachelor's Degree in Nursing (if nursing).
• Master's Degree in Health-related/science field (preferred).
• Master's Degree in Social Work (if other than nursing).
• Required upon hire: California Registered Nurse License (Vendor Managed).

Experience & Expertise

• 2 years of care management experience in an acute care setting/environment. Alternative or comparable experience may substitute.
• 2 years of healthcare management related to acute care case management. Alternative or comparable experience may substitute.
• Knowledge of principles and practice of acute case management.
• Knowledge of evidence-based practice.
• Understanding of the care continuum and care transitions related to acute care ministries.
• Proficient in Microsoft Office products including Word, Excel, PowerPoint and Outlook.

Professional & Leadership Capabilities

• Effective problem solving, writing, communication and organizational skills are required.
• Ability to manage multiple tasks simultaneously required.
• Must be able to build, cultivate and maintain key working relationships to drive expert to expert collaboration.

Why Join Us?

• Care Management Leadership: Oversee care transitions, case management, utilization management, discharge planning, and psychosocial interventions across acute care ministries.
• Patient-Centered Impact: Support safe and sustainable care transitions while advancing patient care, outcomes, satisfaction, and the Triple Aim.
• Clinical & Community Partnership: Collaborate with medical staff, Physician Advisors, executive leadership, and community care partners across the continuum of care.
• Quality & Performance Focus: Lead strategic and operational planning, performance improvement, regulatory compliance, and professional development within care management services.

The full pay range is listed in accordance with applicable law. Final compensation will be determined based on qualifications, experience, organizational compensation alignment, and the approved hiring department budget for the position. This position may also be eligible for incentive compensation and benefits.

At Providence we believe in the importance of human connection and the impact of in-person collaboration towards team cohesion and caregiver engagement. Further, we want our leaders to live in or near the communities we serve.