Location: Silver Spring,MD, USA
Employment Type:Full timeShift:Description:Position Title: Director, Multi Complex Care ManagementJob Type: Exempt- Full TimePosition Purpose:The Director - Multi/Complex Care Management works in a collaborative environment at Holy Cross Health to deliver excellent patient care as part of an interdisciplinary team providing evidence-based medicine and individualized patient care. This position is a great opportunity to work in an organization that focuses on treating the whole person physically, emotionally and spiritually.Be a part of a dedicated team at Holy Cross Health and contribute to our mission of providing compassionate, high-quality care to our community. We value leaders who drive positive change and inspire others. This role is crucial in shaping a comprehensive, hospital-wide approach to care management, focusing on optimizing resource utilization, discharge planning, and care coordination. Through data analysis, documentation, and collaborative guidance, the Director will support our mission to deliver high-quality care.Position Highlights and Benefits:Comprehensive benefit packages available, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from first day of employment.Opportunity to access your earnings before payday with DailyPayUp to $4,000 in tuition reimbursement annually Work/Life balance with flexible schedules.Free onsite parking.Our mission and core values are what drives each member of Holy Cross Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.What You Will Do:Develop, organize, and direct a hospital-wide care management program focused on utilization, discharge planning, and coordinated care.Supervise the activities of hospital staff in inpatient care coordination, social work, utilization review, and discharge planning.Collaborate with the Medical Director of Care Management and the Director of Documentation Quality and Care Transitions on initiatives for denial prevention, readmission reduction, and palliative care.Guide hospital staff, medical personnel, patients, and families through education, consultation, and ongoing support.Minimum Qualifications:Master's degree or higher in a healthcare-related field (nursing, social work, healthcare administration, or medicine).Maryland-recognized licensure in clinical specialty if applicable.Minimum 5 years in care management or related field, with 2+ years in a leadership role in case management, utilization review, or similar areas.Extensive understanding of payer mechanisms and clinical utilization management.Strong interpersonal skills with a track record of effective interdisciplinary collaboration.Knowledge of relevant regulatory standards and proven experience interacting with external review organizations.Pay Rate: $54.94-$82.40Pay is based on experience, skills and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) statusAbout Us:Holy Cross Health is a Catholic, not-for-profit health system serving more than 240,000 individuals annually from Maryland's two largest counties-Montgomery and Prince George's counties. Holy Cross Health has earned numerous national awards, clinical designations, and accreditations across a wide range of specialties for providing innovative, high-quality health care services.Our Commitment to Diversity and InclusionTrinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.