Regional Director Inpatient Care Management

Job Details

In collaboration with the Enterprise VP Care Management and hospital leadership the Regional Director Inpatient Care Management is responsible for the direction and objectives of the Care Management Department consistent with the Hospital and Jefferson Healths strategic plan and mission. Responsible for the administrative oversight of the overall operations growth and development of the activities of the Care Management Department for their designated hospitals / region.

Job Description

Summary
In collaboration with the Enterprise VP Care Management and hospital leadership the Regional Director Inpatient Care Management is responsible for the direction and objectives of the Care Management Department consistent with the Hospital and Jefferson Healths strategic plan and mission. Responsible for the administrative oversight of the overall operations growth and development of the activities of the Care Management Department for their designated hospitals / region.

Job Duties

• Develops structures and processes to facilitate participation by physicians members of the healthcare team in the multidisciplinary care planning care progression and discharge planning.
• Develop and implement policies procedures and standards that provide structure for the Care Management Departments.
• Actively participates in internal and external committees and represents self and the Enterprise in a professional manner.
• Develops submits and oversees the Care Management departmental operational and capital budgets. Guides Managers in variance reporting as warranted.
• Provides oversight implementing and evaluating the Care Management Departments daily operations.
• Develops and implements ongoing notifications of both computerized/non computerized Care Management/Social Work systems and applications.
• Establish and assure appropriate staffing levels assignments and deployment for the Care Management Departments.
• Resolves conflicts related to discharge planning with patients/families external agencies and payers.
• Facilitates transition of patients across the care continuum by establishing relationships with appropriate providers and community services.
• Formulates and implements a plan for growth and development of staff.
• Ensures compliance with regulatory governmental standards and payer requirements.
• Participates in data collection and analysis of clinical and financial data (e.g. LOS data avoidable days barriers) and makes recommendations to improve performance.
• Serves as a resource to members of the healthcare team.
• Mitigates risk and safety using the High Reliability Organizational principles.
• Interacts with co-workers visitors and other staff consistent with the values of Jefferson.

Minimum Qualifications

• Masters Degree MSN MSW or MBA or other Masters Degrees with care management experience required.
• 5 years experience in hospital-based Care Management or ambulatory/population health care management and
• 5 years prior management experience required.
• Knowledge of managed care governmental and third-party payers reimbursement.
• Strong interpersonal relationships.
• Ability to prioritize workload; collaborate with others to meet multiple deadlines; communicate effectively orally and in writing; work in a team environment document in electronic health records.
• Possess robust performance improvement skills.

Additional Qualifications

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing frequent keyboard use *patient care providers may be required to perform activities specific to their role including kneeling bending squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities requirements and working conditions for the position. It is intended to be an accurate reflection of the current position however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University

Primary Location Address

1100 Chestnut Street Philadelphia Pennsylvania United States of America

Nationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

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