ClearwaterRecruiter Since 2001
the smart solution for Clearwater jobs

Director Care Management Full Time Days

Company: AdventHealth
Location: Tarpon Springs
Posted on: April 2, 2021

Job Description:


Description
Director of Care Management Full Time Days --- AdventHealth North Pinellas Location Address: --1395 S Pinellas Avenue, Tarpon Springs, Florida 34689 Top Reasons to Work At AdventHealth North Pinellas

  • Great Culture
  • Top Quality outcomes
  • Nurse Excellence Committee (NEC)/Governance
  • Leadership is accessible
  • Located on the Gulf of Mexico Work Hours/Shift: Full Time Days You Will Be Responsible For:
    • -- Directs the daily operations of the Care Management department, including all aspects of care coordination, care transition and compliance guidelines
    • Implements the Corporate Care Management strategies
    • Responsible for providing and or implementing strategies to improve operations and outcomes
      • Determines proactive strategies and methods necessary for a high-performance culture related to Care Management
      • Supports change management and movement toward interaction with outpatient Care Management
      • Assists in the development and oversees the implementation of Care Management policies, procedures, and standards
      • Participates in the development of new staffing and care designs that support system goals while achieving best in class performance
      • Supports standards that are consistent with hospital, community and nationally recognized evidence-based practice
      • Collaborates with C-Suite and other hospital leaders to maintain a collaborative professional relationship to achieve goals
      • Works collaboratively with leaders of Utilization Management to quickly and efficiently address any Care Management or Utilization Management concerns or barriers
      • Escalates operational and/or financial concerns to Physician Advisor(s) as appropriate
      • Determines proactive strategies and methods necessary for a high-performance culture related to Care Management
      • Identifies process improvement opportunities and develops, implements and monitors action plans based upon identified Care Management metrics
      • Educates and mentors facility Care Management staff on interpretation of data and the performance of causal analysis-- Reports findings to appropriate facility and divisional leaders
        • Achieves positive results for the organization related to investigations of complaints requiring the Director's direct involvement
        • Available for one---on-one meetings with a wide range of stakeholders for education/development and problem --solving
        • Maintains excellent professional relationships with facility and divisional leadership
        • Communicates and collaborates across the facility in the areas of data and information management, performance improvement, care coordination, care transition management, medication management, and social services
        • Provides leadership to and actively participates with facility staff to identify, implement, or enhance Care Management programs consistent with AdventHealth and facility strategy
        • Ensures the facility's Care Management staff are practicing at the highest level of excellence
          • Oversees the effectiveness of the department's recruitment and retention program, taking action as necessary to provide an adequate level of qualified staff
          • Coaches/mentors staff to improve their performance and develop their professional skills
          • Identifies leadership talent and actively develops leadership skills in staff
          • Supports diversity objectives of the organization in recruiting and promoting
          • Creates and implements change management strategies and plans that maximize employee adoption and minimize resistance
          • Compiles and reviews budgets and justifications submitted by Care Management Manager
          • Provides assistance to the Care Management Manager and Supervisor to develop action plans that address variances
          • Utilizes management reports to evaluate budget and staffing variations
          • Assists Care Management Divisional Director with operating budget for Care Management Qualifications
            What You Will Need:
            • Registered Nurse: BSN
            • Social Worker: MSW or BSW + Masters in related field
            • 5 years of Care Management experience performing hospital discharge planning
            • 3 years of Manager level (or above) experience in Care Management/Social Work leadership
            • Understanding of medical necessity for appropriate patient status and level of care
            • Understanding of Care Management best practices
            • Ability to research and reason best practices to support process improvement
            • Strong verbal and electronic communication skills
            • Ability to analyze, evaluate and monitor data in addition to provide action plans
            • Supports positive employee relations and customer experience
            • Understanding of Microsoft Office Products and other appropriate software platforms
            • Understanding of CMS Conditions of Participation for Discharge Planning
            • Understanding of Managed Care and Value Based Programs
            • Ability to work autonomously with self-direction
            • Ability to work as a collaborative partner of a diverse leadership team
            • Ability to lead and sustain change
            • Knowledge of change management principles, methodologies, and tools PREFERRED QUALIFICATIONS:
              • Registered Nurse: MSN
              • Social Worker: MSW with LCSW
              • 5-7 years in Care Management leadership (manager level or above) in addition to 5 years of direct Care Management/Utilization Management experience and increasing leadership responsibility
              • 3-5 years of Director and/or Manager of Care Management level of experience
              • Sustained goals of Care Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Care Management program LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
                • State Specific RN license if a nurse LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:
                  • RN-BC Certification in Care Management Job Summary: The Care Management Facility Director has full accountability and oversight for the overall operations of the Care Management department, including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social Services, Readmission Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager's roles in Multidisciplinary Rounds , Care Transitions, team member engagement, team member evaluations and customer experience . The Care Management Facility D irector leads, manages, and supervises all activities of the Care Management Manager, Team Leads, Care Managers, Social Workers and Care Manager Assistants to ensure appropriate care coordi nation and care transition handoffs for all patients. The Care Management Facility Director will provide monthly metric reports and mitigation plans to the Care Management Divisional Director. The Care Management Facility Director reports directly to the Division Care Management Director with a matrix reporting relationship dotted line to the Facility CNO. The Care Management Facility Director works closely with the Facility CNO to implement the Corporate Care Management strategies. The Care Management Facility Director meets regularly with the CMO to align Care Management work with Providers and keep the CMOs updated. The Facility Care Management Director communicates regularly with the CFO to provide a bidirectional communication to keep Facility CFOs updated on Care Management initiatives and progress.
                    This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

Keywords: AdventHealth, Clearwater , Director Care Management Full Time Days, Executive , Tarpon Springs, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Customer Success Manager
Description: Why this company One of our top clients, a leading virtual health platform, is currently expanding their sales team and they need an experienced account manager to help maintain customer relationships. (more...)
Company: Recruit Group
Location: Orlando
Posted on: 04/13/2021

Project Manager - Residential Construction
Description: Orlando, FLLooking to join an innovative and high growth company run by a recognized and successful team of co-founders and executives Well, it's an exciting time to join Curbio, a Real Estate Tech (more...)
Company: Curbio
Location: Orlando
Posted on: 04/13/2021

Assistant Salon Manager - Poinciana Shoppes
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more
Company: Great Clips
Location: Montverde
Posted on: 04/13/2021


Director of Nursing
Description: Job DescriptionOverview Centurion is proud to be the provider of insert the following as applicable: medical and/or mental health services and/or dental services, or comprehensive healthcare services (more...)
Company: Centurion
Location: Orlando
Posted on: 04/13/2021

Account Manager (US)
Description: As Account Manager you will manage the relationships with Hospitality Management Companies primarily in the vacation rental industry. This includes managing the relationship from the time the contract (more...)
Company: NextPax
Location: Orlando
Posted on: 04/13/2021

Florida Licensed General Manager/Retail Optical - 5398
Description: Company DescriptionAt National Vision, Inc. NVI , we believe everyone deserves to see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible.NVI (more...)
Company: America's Best
Location: Orlando
Posted on: 04/13/2021

Donor Center Director
Description: How to Maximizeyour opportunity to do rewarding work,your future leadership potential,and your career growth Join an industry leader. Become one, too Octapharma Plasma offers professional opportunities (more...)
Company: Octapharma Plasma, Inc.
Location: Orlando
Posted on: 04/13/2021

Salon Manager - Golden Eagle Village
Description: Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Apopka
Posted on: 04/13/2021

Salon Manager - Golden Eagle Village
Description: Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Clermont
Posted on: 04/13/2021

Director of Product Marketing
Description: A lot of companies say they're mission-driven . Our unique corporate structure guarantees that every decision we make upholds our mission: to make sure the internet stays available, safe, and welcoming (more...)
Company: Mozilla
Location: Orlando
Posted on: 04/13/2021

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Clearwater RSS job feeds