Director-Coordinated Care - Coordinated Care-UH
: Job Details :

Hello,Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:* Provide all of your employment history, education, and licenses/certifications/registrations. You willbe unable to modify your application after you have submitted it.* You must meet all of the job requirements at the time of submitting the application.* You can only apply one time to a job requisition.* Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process.* Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted.After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile.Thank you,Human ResourcesImportant Applications Instructions:Please complete this application in entirety by providing all of your work experience, education and certifications/license. You will be unable to edit/add/change your application once it is submitted.Job Requisition ID:R00039723Job Category:Allied HealthOrganization:Adult and Children's Coordinated CareLocation/s:Main Campus JacksonJob Title:Director-Coordinated Care - Coordinated Care-UHJob Summary:To direct all activities related to utilization review, patient placement center, coordinated care, (case management/social work) and reporting on trends and variances for UMMC. To ensure all patient functions in all departments listed are coordinated with revenue management teams to meet customer requirements/expectations/needs and also meet the strategic goals and objectives of UMMC. Will also manage the CDI program.Education & ExperienceMaster's degree in healthcare related field and five (5) years of related experience. Five (5) years supervisory experience. Experience cannot be substituted for educational requirement.CERTIFICATIONS, LICENSES OR REGISTRATION REQUIRED: Valid RN or LMSW licenseKnowledge, Skills & AbilitiesIn depth knowledge of admission/registration procedures, leadership skills and change management. Demonstrated understanding in patient flow processes. Knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique and the coordination of people and resources. Organizational, analytical, and problem resolution skills. Verbal and written communication skills. Ability to develop and implement strategies for. Ability to build and sustain relationships with senior leaders and employees. Ability to work across organizational and functional boundaries.Responsibilities* Directs, develops and implements strategic and operational/high level projects and processes either through independent/highly autonomous work or through the facilitation of work teams to enable the effective and efficient completion of objectives. (EF)* Oversees management of and ensures development for staff to meet overall objectives in terms of quality, service and cost effectiveness. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem. Directs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees. (EF)* Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators; length-of-stay; and readmissions. (EF)* Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes. (EF)* Identifies opportunities and takes action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals. Drives the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed. (EF)* Drives and establishes relationships with medical staff, promotes teamwork while ensuring patient care issues are addressed. (EF)* Works collaboratively with Chief, Care Coordination* Oversees department operations, designated projects, schedules and activities as needed to ensure that goals or objectives are accomplished within the prescribed time frame. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction. (EF)* Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department. (EF)* Sets direction for Case Management which supports strategic and operational plans, and overall healthcare trends, by establishing goals and outcomes that are aligned with performance expectations and establishing targets and processes to support initiative of clinical quality and length of stay. (EF)* Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines. Responsible for staff maintenance of credentials and competencies, per accrediting/ licensing agency and/or department guidelines as applicable. (EF)* Employs a proactive approach in the optimization of safe outcomes and information systems by monitoring and improving the department workflow and enhancing operations, using peer-to-peer accountability and identifying solutions via collaboration. Implements process improvements utilizing tools such as lean principles. Role models situational awareness, using teachable moments to improve safety. (EF)* Responsible for employee compliance to policies and procedures and performs associated actions upon non-compliance (i.e., licensure/certification compliance, focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.). (EF)* Partners with physicians, quality, palliative care and other departments to identify strategies to improve the mortality index and readmission of patients. (EF)* Identifies initiatives to progress patient care, work with the interdisciplinary team to ensure a safe and efficient discharge plan, as demonstrated by system goals, i.e. avoidable days. (EF)* Works directly with department managers to address patient complaints, conduct physician education regarding discharge planning, progression of care, documentation of improvement, and Medicare Conditions of Participation. (EF)* Develops and manages in tandem with Chief, Care Coordination, department operational and capital budgets, approvals, and ongoing maintenance of the department(s), ensuring operation in a cost-effective manner. Proactively identifies and plans for capital needs related to current equipment and future department projects. Ensures staffing plans and schedules meet department needs that reflect understanding of the importance of cost-effectiveness. (EF)* Creates department strategies with team and organizational leaders to achieve financial target and staffing needs, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications. (EF)* Ensures that outcomes management activities are integrated and maintained in a clinically appropriate manner. Identifies and plans strategies to reduce length of stay and resource consumption while providing excellent customer/patient service. (EF)* Plays a leadership role in utilization review committee which includes identification of opportunities for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of care. (EF)* Supports community hospitals within the system to assure adequate staff coverage for case management/discharge planning needs* Identifies and implements (with department managers) innovative solutions for practice or workflow changes to improve department, entity or system operations by leading unit projects and/or other department/ system-directed activities. Proactively leads task forces and committees. May represent UMMC at assigned community or professional Drives change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures. Partners effectively with stakeholders as appropriate. (EF)* Ensures own career discussions occur with appropriate management. Completes and updates the individual development plan (IDP) on an on-going basis. Conducts conversations with staff on their development plans/needs. (EF)* Creates and maintains an effective and innovative care management program by staying abreast of new innovations and trends in the areas of care coordination, evidence- based practice, utilization management, and service excellence. Disseminates information and focuses the efforts of the organization on skills required and critical milestones for advancing outcomes-focused care. (EF)* Partners with community providers in tandem with Chief, Care Coordination to address quality of care, social determinants of health, and population management. (EF)* The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.Physical and Environmental DemandsRequires frequent exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional exposure to biohazardous conditions such as risk of radiation exposure, blood borne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals which mandate attention to safety considerations, occasional working hours significantly beyond regularly scheduled hours, occasional travelling to offsite locations, frequent activities subject to significant volume changes of a seasonal/clinical nature, occasional work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 50 pounds, occasional climbing, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, occasional reaching, frequent sitting, occasional standing, occasional twisting, and frequent walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)Time Type:Full timeFLSA Designation/Job Exempt:YesPay Class:SalaryFTE %:100Work Shift:DayBenefits Eligibility:Benefits EligibleGrant Funded:NoJob Posting Date:11/22/2024Job Closing Date (open until filled if no date specified):