Director, Care Management RN

• 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

• Oversees the departments recruitment and retention activities, taking action to ensure adequate staff and leadership in care management.

• Actively engages with post-acute care entities to improve patient care transitions and decrease readmissions.

• Leverages and leads technology change management to improve staff efficiencies, drive positive patient outcomes, and maximize the tools care managers utilize to perform their roles.

• Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services. Ensures compliance with CMS CoPs for Discharge Planning as well as related federal and state regulations.

• Responsible to participate in Corporate Care Management meetings, cascade information, and implement strategies with standard work and processes.

• Develops and oversees the implementation and compliance with Care Management policies and standard operating procedures.

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

• Develops and meets operational budget performance with oversight to assure capital and fiscal accountability.

• Partners with Utilization Management for the Utilization Review Committee as well as day-to-day operations.

• Identifies improvement opportunities and develops, implements, and monitors action plans.

• Educates and mentors facility Care Management staff and the interdisciplinary teams on data, outcomes, and opportunities.

• 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]

• Sustained goals of Care Management metrics, voice of the customer experience, employee engagement, and quality outcome viability of a Care Management program [Preferred]

• Bachelor's in Nursing [Required]

• Master's in Nursing [Preferred]

• 5+ direct care management experience [Required]

• 3+ care management leadership experience [Required]

• 2+ frontline nursing experience [Required]

• Registered Nurse (RN) [Required]

• Accredited Case Manager (ACM) [Preferred]

• Certified Case Manager (CCM) [Preferred]

At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. More than 100,000 skilled and compassionate caregivers in physician practices, hospitals, outpatient clinics, skilled nursing facilities, home health agencies and hospice centers provide individualized, wholistic care.Our Christian mission, shared vision, common values and focus on whole-person health is our commitment to making communities healthier with a unified system: 51 hospital campuses and hundreds of care sites in diverse markets throughout nine states.