Trinity Health Mid-Atlantic
Director of Care Management South- Full Time, Days- Trinity Health, Mid-Atlantic
Trinity Health Mid-Atlantic, Wilmington, Delaware, us, 19894
Employment Type:
Full time
Shift:
Day Shift
Description:
Saint Francis Hospital and Mercy Fitzgerald Hospital, members of Trinity Health Mid-Atlantic, is seeking an experienced Director of Care Management South to join the Case Management team! Schedule: Full-time, 40hrs/wk, Monday-Friday day shift. The Director of Care Management is responsible for the development, implementation, direction, coordination, and oversight of the Care Management Department for our South region that includes both
Saint Francis Hospital in Wilmington, DE and Mercy Fitzgerald Hospital in Darby, PA . The role requires collaborative, proactive, and patient-centered relationships to achieve consensus and to facilitate and maximize outcomes. This includes collaboration with community, local, and state resources. The position requires specialized knowledge, training, and experience, as well as current knowledge and understanding of laws, legal and professional requirements, privacy, confidentiality, and other principles and rules. Analyzes trends in healthcare and their effectiveness in the application of such to the CM department. Participation in data collection and use of tools to accomplish these goals. Provides the framework in which outcome goals can be achieved through integration of the utilization, clinical, and discharge management functions of the CM department. Responsibilities include: Maintains collaborative relationships with Medical Staff and facilitates education on compliance-related utilization management issues. Facilitates the Care Management Council and assures adherence to the required components in accordance with the CoPs. Ensures system adherence to all Federal, State, and Local clinical and regulatory guidelines related to utilization. Ensures oversight of critical processes related to compliance of inpatient, observation, ambulatory claims, and appropriate level of care. Develops collaborative relationships with physicians, nurses, and other patient care support colleagues. Develops collaborative relationships with payers, other providers, and referral sources to facilitate appropriate utilization of related clinical services and innovative care management initiatives. Based on evidence and care management opportunities, collaborates with service line administrators to adjust the common care strategy to accommodate service line goals and objectives. Minimum Qualifications: Licensed RN in the State of Delaware and Pennsylvania or Masters level Social Worker; American Case Management Association (ACMA) accreditation also recommended. BSN -or- MSW degree. Ten years of experience in Case Management or in a Medical/Surgical Acute Care setting. Care Management, Utilization, Social Services, Infection Control, and Performance Improvement experience required. Five years of clinical case management experience. We offer a competitive salary and comprehensive benefits including: Medical, Dental, & Vision Coverage (Effective first day of hire!) Relocation Assistance available. Retirement Savings Program. Paid Time Off. Tuition Reimbursement. Free Parking. And more! Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
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Full time
Shift:
Day Shift
Description:
Saint Francis Hospital and Mercy Fitzgerald Hospital, members of Trinity Health Mid-Atlantic, is seeking an experienced Director of Care Management South to join the Case Management team! Schedule: Full-time, 40hrs/wk, Monday-Friday day shift. The Director of Care Management is responsible for the development, implementation, direction, coordination, and oversight of the Care Management Department for our South region that includes both
Saint Francis Hospital in Wilmington, DE and Mercy Fitzgerald Hospital in Darby, PA . The role requires collaborative, proactive, and patient-centered relationships to achieve consensus and to facilitate and maximize outcomes. This includes collaboration with community, local, and state resources. The position requires specialized knowledge, training, and experience, as well as current knowledge and understanding of laws, legal and professional requirements, privacy, confidentiality, and other principles and rules. Analyzes trends in healthcare and their effectiveness in the application of such to the CM department. Participation in data collection and use of tools to accomplish these goals. Provides the framework in which outcome goals can be achieved through integration of the utilization, clinical, and discharge management functions of the CM department. Responsibilities include: Maintains collaborative relationships with Medical Staff and facilitates education on compliance-related utilization management issues. Facilitates the Care Management Council and assures adherence to the required components in accordance with the CoPs. Ensures system adherence to all Federal, State, and Local clinical and regulatory guidelines related to utilization. Ensures oversight of critical processes related to compliance of inpatient, observation, ambulatory claims, and appropriate level of care. Develops collaborative relationships with physicians, nurses, and other patient care support colleagues. Develops collaborative relationships with payers, other providers, and referral sources to facilitate appropriate utilization of related clinical services and innovative care management initiatives. Based on evidence and care management opportunities, collaborates with service line administrators to adjust the common care strategy to accommodate service line goals and objectives. Minimum Qualifications: Licensed RN in the State of Delaware and Pennsylvania or Masters level Social Worker; American Case Management Association (ACMA) accreditation also recommended. BSN -or- MSW degree. Ten years of experience in Case Management or in a Medical/Surgical Acute Care setting. Care Management, Utilization, Social Services, Infection Control, and Performance Improvement experience required. Five years of clinical case management experience. We offer a competitive salary and comprehensive benefits including: Medical, Dental, & Vision Coverage (Effective first day of hire!) Relocation Assistance available. Retirement Savings Program. Paid Time Off. Tuition Reimbursement. Free Parking. And more! Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
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