Director Care Management West Orange Market AdventHealth Apopka FT at AdventHealth

Date Posted: 1/23/2022

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Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Apopka, FL
  • Date Posted:
    1/23/2022
  • Job ID:
    21040226
  • Job Family
    Case Management
  • Shift
    1 - Day

Job Description


Description

YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!

Director Care Management Seminole Market AdventHealth Apopka FT

Location Address: 2100 Ocoee Apopka Rd, Apopka, FL 32703 

Top Reasons to work at AdventHealth Apopka

  • AdventHealth Apopka is a seven-story, 120-bed hospital offering an extensive range of services including expanded surgical services, advanced surgical suites and a catheterization lab
  • The hospital also features a 30,000-square-foot emergency department with pediatric-friendly beds, imaging services, a full-service cafeteria, chapel, gift shop and on-site fire station
  • The hospital opened in December 2017, replacing the 50-bed hospital that AdventHealth had operated in downtown Apopka for more than four decades

 

Work Hours/Shift:

  • Full Time – Days – M-F 
  • You Will Be Responsible For:  
  • The Care Management Facility Director has full accountability and oversight for the overall operations of the Care Management department, including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social Services, Readmission Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager’s roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team member evaluations and customer experience.
  • The Care Management Facility Director leads, manages, and supervises all activities of the Care Management Manager, Team Leads, Care Managers, Social Workers and Care Manager Assistants to ensure appropriate care coordination and care transition handoffs for all patients. The Care Management Facility Director will provide monthly metric reports and mitigation plans to the Care Management Divisional Director.

    The Care Management Facility Director reports directly to the Division Care Management Director with a matrix reporting relationship dotted line to the Facility CNO.  The Care Management Facility Director works closely with the Facility CNO to implement the Corporate Care Management strategies. The Care Management Facility Director meets regularly with the CMO to align Care Management work with Providers and keep the CMOs updated.  The Facility Care Management Director communicates regularly with the CFO to provide a bidirectional communication to keep Facility CFOs updated on  Care Management initiatives and progress.

  • Directs the daily operations of the Care Management department, including all aspects of care coordination, care transition and compliance guidelines

    ●          Implements the Corporate Care Management strategies

    ●          Responsible for providing and or implementing strategies to improve operations and outcomes

    ●          Determines proactive strategies and methods necessary for a high-performance culture related to Care Management

    ●          Supports change management and movement toward interaction with outpatient Care Management

    ●          Assists in the development and oversees the implementation of Care Management policies, procedures, and standards

    ●          Participates in the development of new staffing and care designs that support system goals while achieving best in class performance

    ●          Supports standards that are consistent with hospital, community and nationally recognized evidence-based practice

    ●          Collaborates with C-Suite and other hospital leaders to maintain a collaborative professional relationship to achieve goals

    ●          Works collaboratively with leaders of Utilization Management to quickly and efficiently address any Care Management or Utilization Management concerns or barriers

    ●          Escalates operational and/or financial concerns to Physician Advisor(s) as appropriate

    ●          Determines proactive strategies and methods necessary for a high-performance culture related to Care Management

    ●          Identifies process improvement opportunities and develops, implements and monitors action plans based upon identified Care Management metrics

    ●          Educates and mentors facility Care Management staff on interpretation of data and the performance of causal analysis; Reports findings to appropriate facility and divisional leaders

    ●          Achieves positive results for the organization related to investigations of complaints requiring the Director's direct involvement

    ●          Available for one­-on-one meetings with a wide range of stakeholders for education/development and problem ­solving

    ●          Maintains excellent professional relationships with facility and divisional leadership

    ●          Communicates and collaborates across the facility in the areas of data and information management, performance improvement, care coordination, care transition management, medication management, and social services

    ●          Provides leadership to and actively participates with facility staff to identify, implement, or enhance Care Management programs consistent with AdventHealth and facility strategy

    ●          Ensures the facility's Care Management staff are practicing at the highest level of excellence

    ●          Oversees the effectiveness of the department’s recruitment and retention program, taking action as necessary to provide an adequate level of qualified staff

    ●          Coaches/mentors staff to improve their performance and develop their professional skills

    ●          Identifies leadership talent and actively develops leadership skills in staff

    ●          Supports diversity objectives of the organization in recruiting and promoting

    ●          Creates and implements change management strategies and plans that maximize employee adoption and minimize resistance

    ●          Compiles and reviews budgets and justifications submitted by Care Management Manager

    ●          Provides assistance to the Care Management Manager and Supervisor to develop action plans that address variances

    ●          Utilizes management reports to evaluate budget and staffing variations

    ●          Assists Care Management Divisional Director with operating budget for Care Management

Qualifications

What you will need:

What you will need:

EDUCATION AND EXPERIENCE REQUIRED:

Registered Nurse: BSN

Social Worker:  MSW or BSW + Masters in related field

5 years of Care Management experience performing hospital discharge planning

3 years of Manager level (or above) experience in Care Management/Social Work leadership

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

Knowledge and Experience Preferred:

3-5 years of Director and/or Manager of Care Management level of experience

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

Required Competencies

Strategic Planning

Obtaining information and identifying key issues and relationships relevant to achieving a long-range goal; committing to a course of action to accomplish a long-range goal after developing alternatives based on logical assumptions, facts, available resources, constraints, and organizational values. 

Operational Decision Making

Securing and comparing information from multiple sources to identify business issues; committing to an action after weighing alternative solutions against important decision criteria.

Facilitating Change

Encouraging others to implement better approaches to address problems and opportunities; leading the implementation and acceptance of change within the workplace. 

Driving for Results

Setting high goals for personal and group accomplishment; using measurement methods to monitor progress toward goals; tenaciously working to meet or exceed goals while deriving satisfaction from that achievement and continuous improvement. 

Building Talent

Planning and supporting the development of individuals' knowledge, skills, and abilities so that they can fulfill current or future job responsibilities more effectively.

Business Acumen

Using one's knowledge of economic, financial, market, and industry trends to understand and improve individual, work group, and/or organizational results; using one's understanding of major business functions, industry trends, and own organization's position to contribute to effective business strategies and/or tactics. 

Inspiring Others

Motivating individuals toward higher levels of performance that are aligned with the organization's vision and values.

Leading Through Vision and Values

Keeping the organization's vision and values at the forefront of associate decision making and action. 

Creating a Culture of Trust

Fostering a work environment that encourages people to act with integrity and treat each other and their ideas with respect; creating and protecting a high-trust environment by setting an example, advocating for others in the face of challenges, removing barriers to trust, and rewarding others for demonstrating behaviors that cultivate trust.

Creating an Inclusive Environment

Making decisions and initiating action to ensure that business unit policies and practices leverage the capabilities and insights of individuals with diverse backgrounds, cultures, styles, abilities, and motivation.


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

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