Director of Case Management - POOL - Remote in the US

Overview

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.

Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.

Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.

Job Summary

Under the direction of the Vice President of Case Management, the Tenet Director Case Management (Pool) is responsible to oversee hospital case management operations at hospital and/or group level as assigned to fill hospital DCM vacancies. Serves as a member of Case Management leadership team responsible for Level of Care, Length of Stay and Clinical Denial Prevention performance. Leads continuous improvement initiatives and case management revenue cycle and patient throughput best practice strategies in the assigned hospitals to achieve organizational goals through standardized processes.

Key focus on leading case management staff to improve patient throughput while achieving cost efficiency and productivity targets in Tenet hospitals. Facilitates the assessment, planning and implementation of best practice standardized processes based on identified opportunities that drive improved patient care and capacity. This leadership position builds strong performance-based relationships, manages through roadblocks and barriers to success, and builds processes and protocols to ensure continued sustainability of initiatives and business processes.

This position will partner with the market and hospital administrative leaders to ensure the strategies are executed at the local level. He/She will work directly with Tenet and Conifer leaders to develop market strategies and tactics that are in alignment with company goals.

Identifies, develops and implements best practices to achieve organizational goals through effectively leading and managing change in a matrix environment. Oversees the implementation of action plans and monitors progress toward goals leading to address barriers and challenges and adjusting as needed in a supportive, synergistic manner. Collaborates with medical and nursing leadership, resource management, case management/social work, discharge planning and utilization management to develop and implement methods to optimize use of hospital services. Works with hospital and group administrative teams to recruit and onboard excellent candidates for key leadership positions.

Manages multi-disciplinary process improvement by utilizing excellent communication and servant leadership skills to challenge status quo and positively influence administrative teams and physicians to change processes to improve performance. May assist with the designing of and providing input needed for implementation and optimization of documentation systems (Cerner, First Net, Careport, Epic, etc.) to standardize workflow and achieve key indicators. Partners with leaders to provide orientation for new team members as needed. Fosters an environment that promotes team member support, partnership, growth and development by assessing the needs of the team and implementing programs to meet those needs. Provides analysis and education regarding regulatory and clinical changes impacting inpatient throughput process and hospital reimbursement. Provides education and tools for educating physicians regarding inpatient throughput process standards. Provides guidance to ensure patient level of care and throughput goals - including length of stay and care variation - are met by working with interdisciplinary teams and entities to coordinate patient flow into and through the hospital.

Works in alignment with assigned leadership teams and consistently demonstrates ability to:
• Successfully lead performance improvement for Level of Care, Length of Stay and Clinical Denial Prevention
• Build effective relationships with hospital and group leaders
• Identify process inefficiencies via root cause analysis and design workflow to address
• Conduct financial analysis and provide budget input as needed
• Develop and implement action plans managing follow up to achieve outcomes
• Implement targeted process changes including ongoing metric monitoring and management to achieve goals and drive improvement

Overall responsibility for the hospital assigned for utilization performance improvement and operational management of the Case Management Department in order to promote appropriate level of care and effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, promote efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.

Responsibilities

• Provide operations oversight to hospital case management directors and staff. Manage the operations, lead implementation, education and monitoring of the Tenet Case Management program including case management model, processes and compliance policies. Collaborate the operations, lead implementation, education and monitoring of the Tenet process standards.
• Lead performance management process for Level of Care, Length of Stay and Clinical Denial prevention.
• Develop and implement comprehensive education plans to address annual and ongoing leadership and staff education needs as required.
• Lead projects, assess, implement, support and monitor development of action plans to improve the case management standard work as we work to enhance inpatient throughput.
• Work with group and market leadership and hospitals administrative teams including, CFOs, CNOs, Physician Advisors and CHROs to monitor and address case management services while achieving successful outcomes.
• WILL TRAVEL 50% EACH MONTH THROUGHOUT THE US. Motor Vehicle Record (MVR) will be conducted on finalist.

Qualifications

Required: 
• RN candidates must possess an active RN license and BSN is required. Social Work candidates must be licensed and master’s prepared (LMSW or LCSW required).
• A minimum of 5 years’ Case Management leadership experience in an acute hospital setting required.

Preferred:  
• Accredited Case Manager (ACM) preferred.
• Multi-site acute-care Case Management leadership experience preferred.
• Advanced degree in Business, Nursing and/or Health Care Administration preferred

Compensation

• Base pay: $125,840-$201,136 annually. Compensation depends on location, qualifications, and experience. 
• Position may be eligible for an Annual Incentive Plan bonus of 10%-50% depending on role level.
• Management level positions may be eligible for sign-on and relocation bonuses.

Benefits

The following benefits are available, subject to employment status:

• Medical, dental, vision, disability, AD&D, and life insurance
• Manager Time Off – 20 days per year
• Discretionary 401k match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
• Paid sick leave and other leave benefits are provided in accordance with applicable federal, state, and local laws.
  
   

Organization Description

Careers at Tenet At Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do.
As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further develop their career pathways and maximize their potential.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

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