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Director, Care Management

Company: Trinity Health
Location: Silver Spring
Posted on: September 12, 2020

Job Description:

This job is available in 2 locations Category Business Administration Job Id 00170939 Trinity Health

Reporting to the Senior Director, Administrative Services, the Director, Care Management develops, organizes and directs an integrated, hospital-wide care management program which monitors (on both an individual case and aggregate level) and directs action to ensure achievement of appropriate levels of Hospital resource utilization, including utilization, discharge planning, care coordination. This function is achieved through concurrent data collection, analysis, and coordinated documentation and discharge focused activities. In order to implement this function, education, consultation and guidance is provided to the Hospital’s care giving staff, to the Medical staff and to patients and family members.

Supervises the activities of hospital staff in inpatient care coordination, utilization review, social work, and discharge planning. Oversees interactions of staff with outside activities and agencies on regulations affecting patient status and insurance.

Works in close collaboration with the Medical Director of Care Management to implement the policies and programs of the Department. Works in close collaboration with the Director of Documentation Quality and Care Transitions related to denial prevention, readmission prevention and Palliative Care.

Supports the Mission of Trinity Health and Holy Cross Hospital.

Minimum licensure/certification required:

• Masters level or higher education is required in a healthcare related field (e.g., nursing,

social work, healthcare administration, medicine).

• Maintains licensure recognized by state of Maryland if trained in a clinical specialty.

Minimum knowledge, skills, & abilities required:

• Five years of experience in care management or related activity

• Extensive knowledge of payer mechanisms and clinical utilization management is

required.

• Minimum of 2 years leadership experience in case management, utilization review or

closely related area.

• Demonstrated ability to establish and maintain effective interpersonal relationships with

all levels of personnel, medical staff, and community, as well as a demonstrated ability to

work effectively with interdisciplinary teams.

• Knowledge of pertinent regulatory, accreditation, public and private service organizational

activities relating to social services and resource utilization. Evidence of prior successful

interaction with external review organizations.

• Demonstrated ability to lead through collaboration and influence.

• Reads, writes, speaks and comprehends the English language.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer.

Qualified applicants are considered for employment without regard to Minority/Female/Disabled/Veteran (M/F/D/V) status.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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Keywords: Trinity Health, Silver Spring , Director, Care Management, Other , Silver Spring, Maryland

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