Job Information
Providence System Executive Director Care Management in Renton, Washington
Description
THE ROLE
The system Executive Director of Care Management is responsible for leading, setting strategic direction, coordinating and supporting care management activities for all inpatient care management functions. The system ED-CM works in partnership with Medical, Nursing, Quality, Program, Home and Community Services, Utilization Management, and external partners across the system to achieve optimal patient care, and attainment of organizational goals.
This position has accountability for inpatient (IP) care management services to include: care coordination, social work, transition planning, and patient care progression. This role will lead as a SME in this space and work across the entire continuum of care to establish best practices, reduce variation, modernize, automate functions, support new models of care and deliver on our commitment to our patients of best outcomes and experience.
Studies on an ongoing basis national and regional trends and adjusts the care management model to meet financial, regulatory and clinical quality goals for the system. In collaboration with the analytics team, develops, monitors, and reports on most relevant metrics/dashboard in this space and consistent with organizational goals to move toward value-based care.
ESSENTIAL FUNCTIONS
Provides leadership and strategic planning to operationalize standard care management services and develops a coordinated approach to care management across the continuum, including the development of a post-acute care strategy.
Oversees development of goals, creation and implementation of action plans and program/intervention evaluation.
Facilitates collaboration and coordination among all divisional entities to develop and facilitate best practice(s) in care management and care coordination.
Facilitates the delivery of safe, high quality care through clinical and non-clinical care management/coordination, ongoing process evaluation, and reviewing clinical outcome metrics.
Works with division CM leaders, CMO and CNO to evolve the organizational model. This includes being a resource and SME in the development, implementation and monitoring of annual capital/operating and personnel (FTE) budgets for the division leaders in CM.
Responsible to continuously evaluate and advance the inpatient Clinical Care Management model assuring best use of RN, SW and non-professional staff skill sets; proactive identification of and intervention with patients; continuity of assignments whenever possible and adequate Care Manager and Social Work coverage for all inpatient and Emergency Department settings.
Develops strategies to leverage resources to advance professional growth, spread best practices, and provide flexible staffing options. Convene, lead and/or monitor divisional work groups as indicated to address opportunities.
Ensures that all aspects of federal, state, local and The Joint Commission/DNV compliance care management related criteria are met.
Measures, analyzes and reports key metrics related to care management across the care continuum. Obtains, utilizes and leverages existing data for improvement of patient flow and other key performance indicators. Facilitates development and distribution of reports as appropriate.
Models and fosters an environment of professionalism and compassionate care. Guides the recruitment, retention, and employee engagement that keeps high performers in place and maintains focus on succession planning. Acts as a role model through the demonstration of personal professional development, continuous learning and competency improvement.
Serves as liaison for system wide care management-focused initiatives.
Provides on-going communication to key stakeholders to ensure the required support is provided for initiatives to be successful and identified issues to be addressed.
Influence information technology solutions at service areas, Division, and System level to support cross-continuum care management and coordination (i.e., Epic functionality, Emergency Department Information Exchange system).
Identifies and implements best practices related to: Clinical Care Management, Utilization Management, Chronic Disease Management, Health Promotion, Care Transitions and Transition Planning, Post-acute Services, Social Work, Hospital Throughput, Patient Placement, LOS Management, and other related areas as indicated.
Improve our ability to appropriately measure the impact of care models and interventions on individual and population health objectives and guide resource allocation.
Develops strategic priorities, tactics, business plans, and budgets as required.
IDEAL QUALIFICATIONS
Bachelor's Degree in Nursing
Master's Degree in Nursing or Business Administration or Equivalent; or equivalent educ/experience
Upon hire: Alaska Registered Nurse License (Vendor Managed); or California Registered Nurse License (Vendor Managed); or Montana Registered Nurse License (Vendor Managed), or New Mexico Registered Nurse License (Vendor Managed), or Oregon Registered Nurse License (Vendor Managed), or Texas Registered Nurse License (Vendor Managed) , or Washington Registered Nurse License (Vendor Managed), or National Registered Nurse Compact License (Vendor Managed)
Upon hire: Case Management Certification
10 or more years of experience working in Acute care case management, Utilization Review, in a complex setting and at a large scale (over $2 Billion revenue sites)
10 or more years of experience in progressively responsible roles with demonstrated leadership experience and strong team management skills
Experience in a continuum of care setting beyond acute
Knowledge of the healthcare industry, with a focus on population health strategies and implementation of data-driven interventions
Care management strategic and operational leadership with demonstrated results in the recent past
Proven ability to drive change in a complex organization by using effective influence without authority, and bringing together and achieving consensus among diverse stakeholders
Ability to address issues through innovative solutions to improve the patient experience, affordability, and quality
Ability to communicate a vision, lead and persist through transition processes within a complex, matrixed organization
Ability to establish organizational structures and management systems to achieve administrative and clinical integration across the continuum of care
Broad working knowledge of clinic operations and physician group practices, financial management, cost analysis, information systems, payment mechanisms and insurance contracts
Broad knowledge and understanding of the trends and changes taking place in health care and their implications
Demonstrated ability to work with medical leaders
Excellent problem-solving skills
Excellent written and verbal communication skills, including active listening abilities
Problem solver who involves others in key decision but assures timely decisions are made
Ability to establish relationships with diverse groups and mentor and develop others
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
Requsition ID: 222791
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 4007 SS CC PROG SRVC LAB
Address: WA Renton 1801 Lind Ave SW
Work Location: Providence Valley Office Park-Renton
Pay Range: $112.32 - $209.67
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.