Pediatric Care Coordination & Social Work Director

Phoenix Children's Hospital, Inc.; Phoenix (AZ); On-site; USD 180,000 - 280,000; Full time

Benefits offered by this job

None

Job summary

Phoenix Children\'s Hospital, Inc. in Phoenix, AZ seeks a senior leader to direct Care Coordination across the enterprise.

You will guide Inpatient Care Management, Utilization Management and Social Work, align with nursing floor management, and ensure seamless end-to-end patient experience. Lead vendor relationships, implement population health initiatives, and collaborate with stakeholders to improve outcomes while controlling costs.

Qualifications

• Bachelor's degree in Nursing. Required
• Current credentials in Case Management or Social Work or equivalent experience. Required
• Master's degree in Nursing, Management, Organizational Development, or related field. Preferred

Responsibilities

• Provides leadership to assigned departments, partners with the VP of Revenue Cycle to develop strategies, implement policies and procedures, and develop KPIs to meet financial and non-financial goals.
• Directs, manages and evaluates the effectiveness and efficiency of Social Work, Case Management and Utilization Management by establishing controls and reviewing associated procedures.
• Manages day‑to‑day operations ensuring compliance with regulatory and legal requirements and quality standards that meet or exceed community standards of care.
• Identifies and manages improvement initiatives, develops clear business and project plans, and implements corrective measures to enhance performance.
• Performs organizational and administrative duties, manages the department budget, prepares financial reports, evaluates systems, and oversees vendor relationships.
• Demonstrates exceptional customer service, builds teamwork, maintains relationships with patients and care providers, and collaborates with other departments to solve complex interdepartmental issues.
• Develops team members through timely feedback, HR policies, and training opportunities to achieve professional growth.
• Performs miscellaneous job‑related duties as requested.

Skills

Leadership

Communication

ICD-10 knowledge

InterQual knowledge

Revenue cycles

MCG guidelines

Decision making

Education

Bachelor's degree in Nursing

Current Case Management or Social Work credentials

Master's degree in Nursing/Management/Organizational Development

Tools

Milliman guidelines

Allscripts Care Management

Job description

Phoenix Children\'s Hospital, Inc. in Phoenix, AZ seeks a senior leader to direct Care Coordination across the enterprise.

You will guide Inpatient Care Management, Utilization Management and Social Work, align with nursing floor management, and ensure seamless end-to-end patient experience. Lead vendor relationships, implement population health initiatives, and collaborate with stakeholders to improve outcomes while controlling costs.