Compensation range:

Your rate of pay will be based on applicable experience

Enloe Health is a Level II Trauma Center located in beautiful Northern California. We offer a full array of medical services and our mission is to elevate the health of the communities we serve. As a Planetree organization we place high value on hiring the right team to care for our patients and their familiescare that is steeped in compassion human connection and mutual support. If you feel called to make a meaningful impact through empathetic person-centered care and thrive in a culture that values collaboration and purpose we welcome you to join our team.

POSITION SUMMARY:

The Director is accountable for operations and the integration of all care coordination strategies for Enloe Health. The Director coordinates the design development implementation and monitoring of the organizations discharge planning functions and Care Coordination. This includes integrating services to hardwire safe seamless transitions for patients across the continuum. The Director is responsible for guiding the staff and managers in case management and social work (both inpatient and outpatient) toward achieving clinical financial quality and utilization goals through effective management communication and role modeling. The Director participates in program development and performance improvement and consistently demonstrates the core values of Enloe Health. The Director works closely with physicians and all departments to guide operational direction planning and coordination of services.

The Director:

• Participates in the development and management of department budgets and productivity targets.

• Manages human resources utilization promotes employee satisfaction supports staff development and utilizes/supports the progressive discipline process when appropriate.
• Leads employees supports organizational goals and decisions implements necessary changes and participates in strategic planning for service needs and resource utilization.
• Maintains and promotes quality service and best practice.
• Participates in quality improvement processes and assures implementation of regulatory standards.
• Ensures service is provided considering age-specific physiological emotional and cognitive needs of the patients served.
• Continually evaluates departmental function to delivery high quality care.
• Keeps V.P. and administration informed regarding level of care/service being provided and level of patient employee and physician satisfaction.
• Translates knowledge of professional and regulatory standards to policies practices and procedures and maintains to reflect current changes.
• Researches interdepartmental problems/issues and takes corrective action in a timely manner and promotes respectful responsive communication between departments to promote patient centered care.
• Provides leadership and mentorship to the managers and leads of the Case Management department ensuring optimal performance. Guides staff in the adherence to applicable standards of care/practice and/or departmental / organizational expectations.
• Acts as a resource to other departments for education and information in area of expertise.
• Implements evaluates and monitors care coordination services for the organization that meet clinical financial and regulatory requirements.
• Establishes evaluates and monitors case management processes policies and procedures to ensure that appropriate clinical resource utilization is achieved.
• Coordinates compliance with the Memorandum of Agreement with California Medical Review Inc. (CMRI).
• Serves as an internal resource and consultant to management medical staff about case management reimbursement clinical resource utilization and care coordination issues.
• Considering age-related and cultural needs ensures that case management processes (clinical care coordination discharge planning performance improvement quality/risk review referrals to appropriate level of care) are appropriately implemented to meet patient needs by assigned staff.
• Communicates clinical outliers impacting financial and patient outcomes and works in collaboration with physicians external agencies and staff.
• Works with the V.P. of Nursing & the Medical Director Utilization Management CDI and others to problem-solve admission referral continued stay and other clinical outlier situations.
• Maintains thorough working knowledge of current professional and regulatory standards (e.g. JCAHO Title 22 OSHA Medicare Condition of Participation and other state and federal agencies) and manages service accordingly.

EDUCATION / TRAINING / EXPERIENCE:

Minimum:

Five years of hospital clinical experience

Masters degree in nursing OR Masters degree in health care administration and Bachelors degree in nursing

Desired:

Masters Degree in Business Administration

LICENSES / CERTIFICATIONS:

Minimum:

Current licensure with the California Board of Registered Nursing

Current CPR recognition

Accredited Case Manager Certified Case Manager (ACM or CCM) (within 1 year)

SKILLS / KNOWLEDGE / ABILITIES:

Knowledge of case management care coordination and utilization review processes. Knowledge of regulatory requirements and quality improvement processes is necessary as well as the ability to successfully integrate these into practice. Must have knowledge of or ability to learn financial management and reporting analytics and metrics quality improvement processes and human resources management. Must be able to effectively monitor evaluate and administer the resources of Care Management and Social Work (other included resources such as Spiritual Care etc.) and make substantiated recommendations regarding resource allocation needs for future planning purposes. Must be able to communicate effectively in writing and verbally both one-on-one and in groups. Must have the ability to lead motivate delegate analyze information and problem solve. Must demonstrate technical competence professional clinical judgment critical thinking and analytical skills. Principles of human resource management in the selection placement education development and supervision of staff. Ability to build positive working relationships with physicians and external agencies both referral and payer. Excellent understanding and communication of reimbursement. Demonstrates evidence of strong skills in strategic planning operational work plans presentation skills. confidentiality integrity creativity and initiative. Demonstrates ability to interact with a wide variety of individuals and handle complex and confidential-sensitive situations. Proficient in the use of multiple computer software programs: Microsoft Word Excel PowerPoint and Internet access and use. Behavior should be reflective of Enloe Medical Center core values. Must be able to fulfill the essential functions of the position.

Benefits Information

Enloe offers a comprehensive and competitive benefits package to all eligible employees including but not limited to:

• $0 premium medical plan to include vision insurance
• Prescription and dental group insurance
• Retirement with employer match
• Generous paid time off (PTO) plan that starts accruing immediately and can be used as its earned
• Extended Sick Leave
• Flexible Spending Accounts for unreimbursed medical expenses and dependent care
• Employee Assistance Program
• Educational Assistance

Please visit the employee benefits page at get more in-depth benefits and coverage information or email to receive a full summary of benefits.