Director , Care Coordination / Quality Resource Management - ReqCode 2866495

St. Joseph Hospital and Trauma Center is a 208-bed, acute care facility providing a full range of diagnostic and treatment services for inpatients and outpatients. St. Joseph provides comprehensive integrated inpatient, outpatient, emergency, and home care services through St. Joseph Hospital and Trauma Center, multiple physician practices and affiliated companies.
Director, Care Coordination, Quality Resource Management
Full time, 80 hours per pay period, 1st shift
RN, BSN or Masters preferred. Case Management and UM required

SUMMARY

The Director of Care Coordination, under the direction of the Vice President for Quality and Regulatory Services and in alignment with the Strategic and Operational Goals of St. Joseph Healthcare, is responsible for providing leadership, planning, organizing, managing and monitoring of the outcomes of the Care Coordination Team (which includes Social Service staff, Case Managers, Utilization and Denials Management, and Interpreter Services). The Director will be required to maintain collaborative ties with the Quality Improvement staff, the Medical Staff, Nursing Staff, clinical department leaders, ancillary staff as well as pre-hospital and post-hospital providers, payors and agencies with the overall goal of improving transitions in care and patient outcomes.

Requisite experience, knowledge, skills requirements:

· Knowledge of emerging healthcare reform initiatives required.
· Knowledge of disease management, clinical best practices, health care quality, and case management required.
· Experience in establishing new programs related to care transitions and overall care coordination highly preferred.
· Knowledge of accreditation and licensure requirements desirable.
· Clinical experience across the continuum of care (physician practice, home care, acute care and post-acute care) highly desirable.
· Experience managing human resource issues, staff conflict resolution, group dynamics, scheduling of staff and disciplinary matters essential.
· Experience with financial budgets and tracking of expenses essential.
· Knowledge of reimbursement principles, utilization management and denials and appeals essential.
· Knowledge of quality tools and principles (i.e., control charts, Donabedian principles, risk adjustment models) highly desirable.
· Knowledge and experience with interpersonal interaction and change theory essential.
· Skilled in communicating with all levels of the organization both orally and in writing.
· Skilled in administrative and clinical research for achieving best practices.
· Knowledge of project management steps and the ability to successfully implement process improvement changes.
· Skilled in establishing and ordering multiple priorities to meet overall goals and ... To view the rest of this job posting or to apply for this position please click the APPLY NOW button