Director, Care Management

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

1035 RED BUD RD NE

City:

CALHOUN

State:

Georgia

Postal Code:

30701

Job Description:

Work Schedule: Monday - Friday 8:30am - 5pm

• Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services while ensuring compliance with CMS and regulatory standards.

• Oversees recruitment, retention, and staffing strategies to maintain strong care management leadership and team performance.

• Collaborates with interdisciplinary hospital leaders and executives to achieve organizational and patient care goals.

• Identifies improvement opportunities and leads operational, technology, and workflow initiatives to improve efficiency, patient outcomes, and reduce readmissions.

• Develops, implements, and ensures compliance with care management policies, standard work, and operational strategies across the department.

Knowledge, Skills, and Abilities:

• Understanding of medical necessity for appropriate patient status and level of care

• Understanding of Care Management best practices

• Ability to research and reason best practices to support process improvement

• Strong verbal and electronic communication skills

• Ability to analyze, evaluate and monitor data in addition to provide action plans

• Supports positive employee relations and customer experience

• Understanding of Microsoft Office Products and other appropriate software platforms

• Understanding of CMS Conditions of Participation for Discharge Planning

• Understanding of Managed Care and Value Based Programs

• Ability to work autonomously with self-direction

• Ability to work as a collaborative partner of a diverse leadership team

• Ability to lead and sustain change

• Knowledge of change management principles, methodologies, and tools [Required]

Education:

• Bachelor's in Nursing [Required]

• Master's in Nursing [Preferred]

Work Experience:

• 5+ direct care management experience [Required]

• 3+ care management leadership experience [Required]

• 2+ frontline nursing experience [Required]

Licenses and Certifications:

• Registered Nurse (RN) [Required]

• Accredited Case Manager (ACM) [Preferred]

• Certified Case Manager (CCM) [Preferred]

Pay Range:

$89,916.80 - $167,252.91

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Registered Nurse

Organization: AdventHealth Gordon

Schedule: Full time

Shift: Day

Req ID: 152247304