Interim Director of Care Coordination Services

Interim Director of Care Coordination Services Healthcare Executive Placements, Inc. / Azad is seeking an interim director of care coordination services for a W2 contract position based in Atlanta, GA. Schedule: Day, Monday through Friday, 5 8's Assignment Duration: 13 weeks Compensation: This position offers a daily rate of $750 to $800 which equates to $3,750 to $4,000 per week (based on a 5-day workweek). Per Diems: Lodging: $182.00 per day and Meals & Incidentals: $86 per day. Per diems are paid daily, 7 days a week, totaling $1,876 per week. Total Weekly Compensation (Daily Rate + Per Diems): Between $5,626 to $5,876 per week. Benefits: Paid sick leave, Paid holidays, Co-paid medical, dental, and vision insurance, Cafeteria plan access and 401(k) retirement plan. Summary: Provides direction of operations by departments focused on the achievement of satisfactory patient outcomes including overall responsibility for the coordination of care services provided by the hospital or within the continuum of care. Responsible for coordinating with the medical group and appropriate staff to ensure a seamless transition of patients across the continuum of care. Oversees the utilization management functions across the region in accordance to policies and procedures as well as federal, state and local regulations. Essential Functions Directs, organizes, plans and coordinates the utilization/resource management and social services process assuring that the organizational goals and objectives for KFH/P are met. Directs development and implementation of quality and utilization standards across the hospital to ensure coordinated plans of treatment, customer focused delivery of services, and cost-effective utilization of necessary services. Ensures compliance with administrative, legal and regulatory requirements of the Health Plan contract and governmental and accrediting agencies. Oversees the development of department standards as identified by regulatory agencies, including The Joint Commission, NCQA, CMS, OHS, DPHS, and DMHC. Maintains a state of continuous regulatory readiness. Maintains oversight of the concurrent and retrospective inpatient reviews and appeal process. Collaborates with other Service Directors in identifying and implementing innovative models and best practices, develops services that achieve a high level of customer satisfaction. Utilizes research data to implement clinical changes and the delivery of patient care and member services. Evaluates processes and makes recommendations to improve resource management systems and patient care outcomes. Participates in Executive Team's strategic planning forums. Utilizes data to support quality patient outcomes and presents to Executive Team ongoing and reliable information about the treatment and patient flow throughout all levels of care and providing expertise in utilization management, regulatory compliance and coordination of care. Directs through managers all activities within the Resource Management department including Social Services. Responsible for efficient utilization of resources and develops processes to screen, interview, hire, train, and maintain the competency of all department staff. Develops, implements, and monitors departmental policies and procedures which support and meet the organization's goals and business objectives. Manages and resolves human resource, labor relations, employee, and department safety and risk management issues. Participates in region wide peer group and leadership activities to drive consistency of operations and performance improvement. Develops and manages systems and relationships with outside vendors; contracts and quality oversight with external vendors. Develops budget and resource allocations for areas of responsibility. Manages the financial performance and identifies and implements appropriate strategies to reduce costs and improve quality of care and services. Focuses on prevention/intervention and identification if issues/problems prior to their impact on operations and patient care; recommends and develops new programs for specialized patient populations to improve quality and effect improved utilization of services. Monitors utilization indicators; identifies and escalates issues; and initiates and evaluates action plans for achieving the area's goals/targets. Qualifications Bachelor's degree in health services, business administration, public health, nursing or related discipline required. Master's degree is preferred. Minimum eight (8) years of experience in patient care. Minimum five (5) years of management experience. GA RN license required. CCM Certification (Certified Case Management) preferred. Required Knowledge, Skills and Abilities Demonstrated knowledge of, Federal HMO Act, Nurse Practice Act, The Joint Commission, and all other local, state, and federal regulations. Demonstrated strong interpersonal communication skills. Must be able to work in a Labor/Management Partnership environment. Diversity Statement HCEPInc. values diversity - in backgrounds and in experiences. Since our inception, we have witnessed how our diverse workforce has thrived while contributing to the increases in innovation and advancements in the client organizations we serve. HCEPInc. is committed to Diversity, Equity & Inclusion and is striving to build an even more diverse, inclusive team that reflects the people and communities where we live and work. HCEPInc. is an equal opportunity employer that considers and employs qualified individuals based upon job related qualifications regardless of race, color, sex, religion, creed, physical or mental disability, veteran's status, sexual orientation, national origin, age, or any other status protected under applicable local, state, or federal law. HCEPInc affirmative action to employ and advance in employment qualified employees and applicants who are disabled, disabled veterans, recently separated veterans, Armed Forces services medal veterans, and other protected veterans. HCEPInc. is a Certified Minority Owned Business and OFCCP compliant. #J-18808-Ljbffr