Director Integrated Care Coordination

Jefferson Health Plans; Philadelphia (Philadelphia County); In loco; USD 130.000 - 180.000; Tempo pieno

Vantaggi offerti da questo lavoro

Benefits package including health/dent

Descrizione del lavoro

Thomas Jefferson University Hospitals, Inc. is seeking a Director of Integrated Care Coordination to lead the Inpatient Care Management Department across multiple facilities, aligning with enterprise goals and optimizing patient transitions.

The role requires strategic vision, operational excellence, and expertise in care coordination, discharge planning, and data-driven performance improvement to elevate care quality and efficiency.

Competenze

• Master’s Degree requirements in healthcare or management and related fields.
• Inpatient care management experience and leadership roles.
• Familiarity with EPIC and data-driven care management processes.

Mansioni

• Provides strategic and operational leadership for the Inpatient Care Management Department, aligning with hospital and Jefferson Health goals.
• Develops and oversees departmental structures, policies, and processes for high-quality care coordination and discharge planning.
• Directs operations and performance, including staffing, budgeting, and quality initiatives across multiple facilities.
• Collaborates with physicians and hospital leadership to facilitate care progression, discharge planning, and transitions across the continuum of care.
• Ensures regulatory and payer compliance and drives continuous improvement through data analysis and population health initiatives.
• Oversees daily operations, staffing, and departmental effectiveness; monitors productivity and turnover; recruits and develops staff.
• Guides managers in variance reporting and maintains departmental budgets; mentors staff for growth and performance excellence.
• Leads initiatives to develop and refine services to improve care quality and patient outcomes; promotes best practices.
• Represents the department in internal/external committees and cross-functional forums; supports population health initiatives.
• Builds relationships with providers and community organizations to optimize patient transitions and resource use.

Conoscenze

Interpersonal skills

Presentation skills

Inpatient care management

Formazione

Master’s Degree in healthcare/management

Master’s Degree in social work/nursing/public health

Master’s Degree in Nursing

Strumenti

EPIC

PowerPoint

Excel

Descrizione del lavoro

Number of Positions In Requisition

1

Job Details

The Director of Integrated Care Coordination provides strategic and operational leadership for the Inpatient Care Management Department in alignment with hospital and Jefferson Health enterprise goals. In collaboration with Regional Director of Integrated Care Management and hospital leadership, the Director oversees all departmental operations, growth, and performance. This role is responsible for planning, directing, and coordinating an integrated care coordination and inpatient case management program across assigned acute care sites. The Director drives process improvements, innovation, and resource optimization to enhance quality outcomes and ensure seamless patient transitions across the continuum of care.

Job Description

Summary

The Director of Integrated Care Coordination provides strategic and operational leadership for the Inpatient Care Management Department in alignment with hospital and Jefferson Health enterprise goals. In collaboration with Regional Director of Integrated Care Management and hospital leadership, the Director oversees all departmental operations, growth, and performance. This role is responsible for planning, directing, and coordinating an integrated care coordination and inpatient case management program across assigned acute care sites. The Director drives process improvements, innovation, and resource optimization to enhance quality outcomes and ensure seamless patient transitions across the continuum of care.

Job Duties

• Provides strategic and operational leadership for the care management department, aligning programs and goals with the hospital and Jefferson Health’s mission, vision, and strategic plan.
• Develops and oversees departmental structures, policies, and processes to ensure high-quality, efficient, and compliant care coordination, discharge planning, and authorization processes.
• Directs and evaluates departmental operations and performance, including staffing, budgeting, quality initiatives, and integration of clinical best practices across multiple facilities using high reliability organizational principles.
• Collaborates with physicians, hospital leadership, multidisciplinary teams to facilitate effective care progression, discharge planning, and transitions across the contiuum of care.
• Ensures regulatory and payer compliance and drives continuous improvement through data analysis, performance measurement, and innovation in population health management.
• Provides administrative oversite of daily operations, ensuring proper staffing, role deployment, and departmental effectiveness.
• Monitors productivity, vacancies, and turnover; develops stratigies to recruit, retain, and develop staff.
• Guides managers in variance reporting and maintains departmental operating budgets.
• Serves as a resource for and mentor for managers and team members, fostering professional growth and performance excellence.
• Leads initiatives to develop, evaluate, and refine services to improve care quality, efficency and patient outcomes.
• Facilitates implimentation of best practices and utilization management processes across the contiuumm.
• Oversees quality and data-driven performance improvement efforts, analyzing key metrics (e.g. LOS, Avoidable days, discharge barriers) to enhance outcomes.
• Identifies and applies technoligy solutions to support challenges and develop sustainable process improvements.
• Resolves complex issues related to patient care, discharge planning, coordination with families, agencies and payers.
• Represents the department and Jefferson Health in internal and external committees, task forces, and professional forums.
• Promotes multidisciplinary collaboration through forums that address regional care delivery strategies and population health initiatives.
• Build relationships with healthcare providers and community organizations to support seamless patient transitions and resource optimization.
• Ensure departmental compliance with regulatory, governmental, and payer requirements
• Stays current on case management trends, best practices, and industry standards to guide ongoing departmental advancement.
• Encourages continuing education and development for staff to maintain clinical, regulatory, and leadership competencies.

Minimum Qualifications

• Master’s Degree in healthcare or management or
• Master’s Degree in social work/nursing/public health or
• Master’s Degree any with experience in in-patient care management. or
• Master’s Degree in Nursing.
• 3 years of progressively responsible hospital management/care management positions related to care management.
• Demonstrated knowledge of inpatient care management management.
• Interpersonal skills necessary to work with physicians and other health care professionals and administrative staff.
• Familiarity with EPIC.
• Ability to use power point, excel and possess strong presentation skills.
• CCM - Certified Case Manager - Commission for Case Manager Certification within 3 Years or
• ACM - Accredited Case Manager - American Case Management Association Within 3 Years

Additional Qualifications

• LCSW or LSW in the state of New Jersey.

Physical Demands

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University Hospitals, Inc.

Primary Location Address

111 S 11th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow’s professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time(including per diemcolleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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