Regional Director Care Management
Regional Director Care Management
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
M-F Day shift
This position will support Dubuque IA.
This position provides leadership strategic direction and operational oversight for hospital and ambulatory care management teams and programs. This role ensures cohesive coordinated patient support across the care continuum focusing on improving outcomes reducing unnecessary utilization and optimizing healthcare resources. The director collaborates with clinical teams operational leaders and external stakeholders to deliver high-quality patient-centered care. This director is responsible for resource allocation and removing barriers that hinder progress. This position requires strong influence and leadership across all stakeholder groups and is recognized as the markets subject matter expert within their scope of responsibility.
Why UnityPoint Health
At UnityPoint Health you matter. Were proud to be recognized as a Top 150 Place to Work in Healthcare by Beckers Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities no matter what life stage youre in. Here are just a few:
- Expect paid time off parental leave 401K matching and an employee recognition program.
- Dental and health insurance paid holidays short and long-term disability and more. We even offer pet insurance for your four-legged family members.
- Early access to earned wages with Daily Pay tuition reimbursement to help further your career and adoption assistance to help you grow your family.
With a collective goal to champion a culture of belonging where everyone feels valued and respected we honor the ways people are unique and embrace what brings us together.
And we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.
Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
Care Integration:
- Leverages operational expertise to integrate services across the organization ensuring seamless care delivery.
- Builds strong relationships with stakeholders across the continuum establishing trust and respect in cross-continuum care management.
- Develops effective partnerships with UnityPoint Clinic (UPC) leadership UnityPoint at Home (UPAH) hospital-based leaders and community-based organizations.
- Actively seeks feedback and collaborates with system leaders to align market improvements with UPH Care Management strategies.
- Acts as a resource across the market helping in solutioning for matters involving the ICM team.
- Coaches and mentors ICM team members ensuring they consistently utilize available patient support resources including but not limited to palliative behavioral health hospice and medication therapy management services.
- Keeps staff informed of community resources and integrates them into planning execution and evaluation of activities as appropriate.
- Seeks opportunities to contribute expertise through community involvement to support strategic initiatives
Operational Leadership:
- Leads Integrated Care Management (ICM) services to ensure high-quality patient care across the continuum including program implementation process improvement and resource distribution.
- Oversees daily operations and leads hospital and ambulatory teams including RN care managers RN care coordinators and licensed social the hospital setting accountability is in the acute adult ED and mother/baby settings where the ambulatory setting accountability is to team members in the System Services-Care Coordination department.
- Ensures care and documentation align with regulatory standards (CMS/DNV).
- Promotes a culture of service excellence through regular visibility and assessment.
- Establishes effective communication processes for internal and external leaders and care teams.
- Develops and retains team members ensuring resources are maximized to meet budget targets and function at the top of their licensure.
- Drives innovation in achieving organizational strategies and identifies opportunities for program improvement.
- Commits to delivering exceptional experiences for patients team members and communities.
- Ensures compliance with all federal and state regulations (e.g. IDPH CMS DNV OSHA OIG)
Staff Development:
- Develops and trains staff in cross-continuum care management knowledge and skills.
- Coaches and mentors the team using advanced care management techniques.
- Demonstrates responsiveness to team members supporting and addressing patient care questions or concerns.
- Identifies and addresses barriers to optimal patient care collaborating with leader colleagues to find solutions.
Performance and Outcomes:
- Ensures achievement of Care Management outcomes including clinical quality patient/team member experience and financial targets. Key responsibilities include:
- Leads deployment of strategies protocols and best practices that drive length of stay and throughput efficiencies enhancing patient flow and reducing duration of hospital stays.
- Leads initiatives aimed at reducing hospital readmissions by implementing evidence-based practices improving patient care coordination and fostering collaborative efforts across interdisciplinary teams.
- Driving measurable improvements in the performance of ACO-participating skilled nursing facilities in partnership with UnityPoint Accountable Care. Focus on ALOS readmissions ED visits and cost per stay.
- Leads strategic growth and sustainability of the Complex Care Management program within their market by optimizing workflows integrating technology and fostering partnerships with care teams. Ensures practices align with regulatory requirements and continuously evaluates program effectiveness in the market to ensure ongoing success and alignment with organizational objectives.
- Analyzes clinical and financial outcomes for population performance
- Partners with leadership in forecasting and setting financial targets
Qualifications
Education:
- Bachelors of Science in Nursing (BSN) Bachelors of Social Work (BSW) or equivalent education in health care management
- Masters Degree in the field(s) of nursing healthcare administration business or related field desired preferred
Experience:
- 3-5 years of progressive leadership experience in Care Management or Population Health or health care management required
License/Certifications: Discipline licensure as required
Leadership Skills
- The ability to set and maintain high standards of performance in a collegial environment holding people accountable for achieving deliverables. This individual will be an outcome driven leader
- A results oriented individual with a reputation of doing what it takes to get the job done while ensuring strong interpersonal relationships; puts the interests of the enterprise ahead of personal or departmental interests
- Demonstrates a high sense of urgency and experience operating effectively in a fast-paced environment requiring the skill to handle multiple priorities simultaneously
- The ability to effectively analyze complex issues/problems and lead/influence individuals and groups in developing and implementing successful resolution tactics.
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Required Experience:
Director
Employment Type
Full-Time
