Director, Case Management & Care Transitions

Health Care Partners; Village of Garden City (NY); Vor Ort; USD 140.000 - 170.000; Vollzeit

Benefits dieser Stelle

Medical & dental coverage

PTO

401k

Tuition reimbursement

FSA

Zusammenfassung

HealthCare Partners, MSO, a leader in health care delivery, seeks a Director of Case Management to provide strategic leadership for Case Management, Transition of Care, and Population Health. This role focuses on program development, alignment with NCQA standards, and improving patient outcomes across Medicaid, Medicare, and commercial plans.

The Director will oversee daily operations, mentor staff, drive reductions in admissions and readmissions, and ensure regulatory compliance while

Qualifikationen

• Strong clinical expertise in care coordination, complex case management, and discharge planning.
• Excellent verbal and written communication skills with ability to convey complex clinical and operational concepts clearly.
• Demonstrated ability to lead interdisciplinary teams in a fast-paced, high-volume environment.
• Strong analytical, critical thinking, and problem-solving skills.
• Ability to perform comprehensive assessment of physical and psychosocial needs of patients.
• Proven ability to manage multiple priorities under tight deadlines.
• Experience with process improvement and performance optimization initiatives.
• Ability to build strong relationships across clinical and non-clinical stakeholders.
• Experience managing delegated health plan programs and participating in delegation audits.

Aufgaben

• Oversee Case Management operations and staff leadership.
• Reduce avoidable admissions and readmissions across lines of business.
• Ensure NCQA standards and audits readiness across programs.
• Collaborate with Quality Management for performance improvements.
• Utilize data analytics to monitor program effectiveness and outcomes.
• Lead interdisciplinary care team activities to coordinate care.

Kenntnisse

Care coordination

Complex case management

Discharge planning

Interdisciplinary teamwork

Analytical skills

Regulatory knowledge

NCQA PHM/CCM/TOC

Ausbildung

RN license

BSN preferred

CCM certification

Jobbeschreibung

HealthCare Partners, MSO, a leader in health care delivery, seeks a Director of Case Management to provide strategic leadership for Case Management, Transition of Care, and Population Health. This role focuses on program development, alignment with NCQA standards, and improving patient outcomes across Medicaid, Medicare, and commercial plans.

The Director will oversee daily operations, mentor staff, drive reductions in admissions and readmissions, and ensure regulatory compliance while