Director-Care Management Operations

General Summary

Supervises and oversees the operations of the Care Management Department in the designated region of WellSpan Health. Works with hospital, regional, medical group, Population Health, post-acute services and system leadership to support the operational achievement of strategic goals. Helps to identify and works in a team leadership model to develop and maintain departmental operations that are consistent with Health System and Community requirements/needs. Provides leadership regarding future strategic goals and the integration of care management principles throughout the System.

Duties and Responsibilities

Essential Functions:

• Oversees analysis of length of stay, progression of care and utilization trends and works with hospital leadership to address and solve problems.
• Oversees the acute care function and policy development of care management including care management, Social Services and care coordination, compliance and regulatory standards.
• Manages the Care Management operations staffing and budget in designated region for both inpatient and ambulatory care management functions and coordinates with peer Care Management leadership throughout the System.
• Identifies care management programming needs which require care management across the continuum. Collaborates with regional leadership team members on the operations of these programs.
• Works with leadership in the WellSpan hospital, Medical Group and Post-Acute services to coordinate care management activities across the continuum of care
• Leads strategic goals/ priorities that supports business transformation, population health functions and care coordination in collaboration with the appropriate leadership members.
• Oversees staffing levels, selects and assigns staff, evaluates performance, evaluates/tests competencies (as applicable), provides orientation, training and continuing education of staff, and initiates or makes recommendations for personnel actions.
• Develops budget(s) for the department/unit/entity and allocates funds within budget(s) to accomplish objectives. Monitors variance against budget(s).
• Coordinates and integrates services within the department/service line/entity, with other departments/service lines/entities, and with the System's primary functions. Participates in the selection of outside services (if needed).
• Continuously assesses and improves the department/service line/entity/System's performance. Maintains appropriate quality control/assessment programs (if applicable).
• Develops and initiates educational programs regarding utilization management principles, care management and social work.

Common Expectations:

• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

• Masters Degree Required

Work Experience:

• 2 years Relevant experience. Required

Licenses:

• Licensed Registered Nurse Upon Hire Preferred or
• Licensed Social Worker Upon Hire Preferred
• Basic Life Support Upon Hire Required

Courses and Training:

• Utilization management, case management, or clinical nursing specialty Upon Hire Preferred and
• Certification in specialty Upon Hire Preferred

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)