Director - Case Management

10 John C. Lincoln Medical Center; Mesa (AZ); Presencial; USD 120.000 - 160.000; Jornada completa

Descripción de la vacante

HonorHealth is seeking a Case Management Director to oversee departmental assessment, budget, and operational leadership of Clinical Resource Management and Social Services. You’ll supervise staff, drive performance, and coordinate with medical leadership, payors, and external partners to optimize care coordination and utilization management.

Responsibilities include developing programs, monitoring outcomes, and ensuring high-quality care transitions while aligning with the organization’s

Responsabilidades

• Develops environment that supports excellence in personalized patient case management and service by leading and directing implementation of the efficient movement of the patient through the continuum of care.
• Focus is placed on critical factors and evidence-based knowledge necessary to determine the patient's health functional status and psychosocial well-being.
• Maintains sound financial practices that support the outcomes of the program and the financial goals of the organization.
• Prepares and justifies annual operating and capital budgets based on projected department and system needs, department policies and goals, and system operational strategies.

Descripción del empleo

Primary City/State: Four Peaks Medical Center - 1301 S Crismon Rd Mesa, AZ 85209 Category: Case Management Shift: Day Department: Case Management

Hours: Monday-Friday Days with rotating call Location: Four Peaks and Florence Medical Center

Great care starts with great people. (Like you.)

At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

JOB SUMMARY

The Case Management Director is accountable and responsible for departmental assessment, problem identification, budget, outcome monitoring and reporting, long term planning and evaluation of all operational aspects of the Clinical Resource Management and Social Services departments. Oversees clinical operations for managed care plan contracts including utilization management, case management, and social services. Responsibilities include directing the activities, performance and development of staff members and the development and evaluation of new processes and improvements.The Director assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of the organization into the Case Management Department and their own personal job performance.Provides state of the art Case Management direction, including clinical and financial management at the patient level, to ensure the consistent high quality provision of care coordination, transitional planning and utilization management. Provides leadership and coordination of Case Management, working closely with the Chief Medical Officer and the Case Management Manager/Supervisor. Develops and ensures close working relationships internally with other system departments and physicians and externally with health plans, care facilities, agencies, other hospitals and vendors, as required. Utilizes data to make informed decisions related to the delivery and outcomes of Case Management, department productivity and staffing. Serves as a change agent for implementation of new programs and existing ones. Member of the Nursing Leadership Council.

ESSENTIAL FUNCTIONS

Develops an environment that supports excellence in personalized patient case management and service by leading and directing implementation of the efficient movement of the patient through the continuum of care, utilizing Case Management principals of Care Coordination, Transition Planning and Utilization Management. Focus is placed on critical factors and evidence-based knowledge necessary to determine the patient's health functional status and psychosocial well-being. Assures management processes are in place to achieve the application of Case Management interventions necessary to meet timely effective patient discharges at the lowest cost, while maintaining quality of care, patient and family satisfaction and payor requirements. Maintains sound financial practices that support the outcomes of the program and the financial goals of the organization. Prepares and justifies annual operating and capital budgets based on projected department and system needs, department policies and goals, and system operational strategies. Maintains personnel and other direct expenses within department budgetary expectations. Monitors monthly management reports and analyzes trends; takes action appropriately and in a timely manner. Develops and implements cost containment strategies; educates department personnel on their role in controlling costs. Evaluates contributing factors to budget variances and modifies fiscal management strategies as appropriate. Establishes staffing patterns and time scheduling practices which facilitate the delivery of consistent and efficient clinical resource management, social worker services, clinical documentation, and translation/interpreting services. Develops and maintains effective relationships with hospital departments providing support services. Monitors services provided and collaborated in developing methods to improve utilization and efficiency. Fosters a collegial environment in which there is sharing of expertise with other professionals. Facilitates the observational or clinical experience of students within the department. Maintains appropriate skills to perform strategic planning for the support of, or the development of, existing or new programs or services as required. Demonstrates the ability to lead tactical planning in support of strategic planning skills. Monitors DRG financial performance, identifies trends, and collaborates with medical staff leadership to achieve optimal financial performance.

Fosters collaborative partnerships that involve all disciplines within Case Management with medical staff and memb