Director Care Coordination
US-CA-SANTA CRUZ
commonspirit_careers
Req #: 410404
Type: Day
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Overview: Dominican Hospital (a member of Dignity Health) is a 222-bed facility that offers a wide range of services to residents of California's Central Coast. With 24/7 emergency care, comprehensive care in cardiac, orthopedics, oncology, women's and children's services, we continue to lead the region in medical innovation and excellence in healthcare. Comprehensive Care Dominican offers emergency services and is a Certified Stroke Center and Chest Pain Center. Dominican's services include the only comprehensive Cancer Center in Santa Cruz County, a Total Joint Replacement program, and advanced neurological and endoscopic services. Dominican regularly receives 'A' grades for hospital safety from Leapfrog Group, and has received national recognition for superior patient safety, cardiac care, and stroke treatment from Healthgrades, a leading provider of comprehensive information about physicians and hospitals. As Santa Cruz County's heart attack (STEMI) receiving center, Dominican Hospital provides cutting edge cardiac care. The hospital's heart attack treatment times consistently beat the national average, and the hospital offers two cardiac catheterization labs available 24 hours a day, 7 days a week. Groundbreaking cardiac procedures at Dominican include the Transcatheter Aortic Valve Replacement (TAVR) procedure, which allows for heart valve replacement without opening a patient's chest. Dominican Hospital has forged significant partnerships with area hospitals to bring exceptional care to Santa Cruz County. The hospital offers a level III Neonatal Intensive Care Unit (NICU) through a partnership with Lucile Packard Children's Hospital Stanford. Neurosurgery at Dominican is also offered through a partnership with Stanford Health Care. One Community. One Mission. One California Responsibilities: Position Summary: The Director of Care Coordination (CC) is responsible for the implementaon, evaluation and direction of Care Coordination in support of the CommonSpirit Health Care Coordination model. The leader has oversight of clinical resource management, progression of care, discharge planning activities, patient advocacy and clinical social work. In collaboration with the National Market Director Care Coordination, the CC Director develops strategies to achieve departmental and CommonSpirit Health goals and objectives. Position Description: * Oversees the implementation of CC policies, procedures and processes; directs and assists with accreditation activities; management of progression of care, addresses psycho-social needs; and, compliance with payer and regulatory requirements to achieve Care Coordination program outcomes and quality metrics. * Provides strong leadership and direction to the care coordination department, including staff supervision, team building, and performance management. * Develops, implements, and evaluates care coordination programs and strategies to optimize patient care, resource utilization, and quality outcomes that align with system-wide Care Coordination. * Ensures that the care coordination department adheres to all relevant healthcare regulations, accreditation standards, and organizational policies. * Oversees the daily operations of care coordination, including staff supervision, budget management, and resource allocation in alignment with organizational goals. * Leads improvement groups and collaborates with healthcare providers, insurance companies, and other internal and external stakeholders to coordinate patient care and facilitate communication across the care connuum. 6. Monitors and analyzes data related to care coordination activities, patient outcomes, and resource utilization to drive decision-making and improvements. * Trains and evaluates care coordination staff to ensure they are aware of and implementing system initiatives, possess the skills and knowledge necessary for effective performance and completion of required education. * Advocates for parents' needs and rights, ensuring they receive appropriate care and support throughout their healthcare journey. * Maintains effective communication with system, regional, market and care facility leadership, clinical staff, and external stakeholders to facilitate efficient care coordination operations. * Drives and engages multidisciplinary teams and committees to address complex patient care issues and develop integrated plans of care. * Ensures and monitors the established goals and key performance indicators (KPIs) to drive connuous improvement. * Collaborates with Utilization Management Hub leaders on trends and opportunities, ensuring action plans are developed to address identified gaps. * Directs recruitment, performance management, coaching, mentoring, training and development of care coordination staff and leaders. Qualifications: Education and Experience: * Bachelor's Degree in Nursing (e.g. BSN) or Masters in Social Work or equivalent education and experience * Minimum of 5 years of clinical care coordination experience, (Utilization Management, Denial Management, Case Management, Care Coordination) or 5 years of progressively responsible healthcare management experience. * Extensive operational experience, program planning, implementation, staff development, and needs assessment in healthcare environment * Comprehensive knowledge of care coordination and discharge planning * Master's degree in Nursing, Health Care Administration or related clinical field preferred. * Experience with data analytics related to include cost containment, over/under utilization assessment and clinical outcomes. Licensure: * Current unrestricted RN license where practicing required or clinical SW license * National certification in either of the following: CCM (Certified Case Manager), ACM (Accredited Case Manager) required or within 2 years upon hire.
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