Director Care Management
Company: CHRISTUS Health
Posted on: November 19, 2021
Candidate for the Director of Care Management role may reside in
one of the following cities: Irving, TX; Corpus Christi, TX; San
Antonio, TX; Beaumont, TX; Tyler, TX; Longview, TX; Texarkana, TX;
Alexandria, LA; Shreveport, LA; or Lake Charles, LA.
The Director of Care Management reports to the System Director of
Care Management and in partnership with the CHRISTUS Clinical
Excellence Division and other health system leaders, is responsible
for assisting in the creation and delivery of strategies focused on
improving operations in the pursuit of clinical excellence. The
incumbent will do so by participating in evaluation, planning and
execution of the full scope of Case Management functions and
improvement opportunities to form a comprehensive model of care
across the continuum of health care services. He or she will work
collaboratively with hospital Case Management Directors to
evaluate, design, and implement strategies to enhance case
management, social work, and utilization review functions and
evaluate outcome measures associated with each initiative. These
strategies will directly impact quality, cost efficiency, and
improve patient care.
Build strong relationships throughout the multi-hospital system to
help support and maintain consistency with system-wide
Translates organizational goals into action plans with outcome
metrics for assigned department(s); Implements initiatives to meet
Implement a high-reliability approach to reduce wasteful variation
in practice and eliminate the consumption of unnecessary clinical
resources while improving clinical and financial outcomes across
the care continuum
Works collaboratively with system, regional, and entity leaders and
physicians to develop and implement best practices for Case
Management teams and programs that maximize appropriate resource
utilization and care transitions.
Work collaboratively with hospital Case Management leaders to meet
strategic and operational excellence goals including cost
initiatives, and delivery of high-quality outcomes.
Guides teams in compliance with state and federal regulations.
Develops and oversees the execution of policies and procedures that
direct the practices and workflow of the Care Management
Implements plans to minimize clinical denials by working
collaboratively with key partners in the system office, regions,
and health system.
Implements strategies to consolidate and standardize case
management/utilization review efforts and models across the health
system to positively impact length of stay, observation
utilization, care transitions, and other case management impacted
Assists teams in evaluation and implementation of technology to
enhance the work of case management and utilization review.
Works in partnership with the Population Health team to streamline
transitional care processes.
Assists in leading the Care Management Operations Council and
health system Care Management Council as needed and provides
leadership support for the committees and members of the group.
Direct supervision of case management/utilization review functions
Bachelor's Degree in nursing or social work required
Master's in healthcare or business-related field preferred
ACM or CCM certification preferred
Minimum of 5 years of hospital case management and utilization
Minimum of 3 years of hospital case management/utilization review
leadership experience. Multiple site experience preferred.
Licensed as a Social Worker or Registered Nurse
Keywords: CHRISTUS Health, Irving , Director Care Management, Executive , Irving, Texas
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