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Director, Care Coordination-Sutter Eden Hospital

Company: Sutter Health
Location: Castro Valley
Posted on: February 25, 2021

Job Description:

Apply Apply Later Director, Care Coordination-Sutter Eden Hospital Job ID EMC-2102687 Date Posted 02/17/2021 LocationCastro Valley,California Schedule/ShiftFull Time/ Day
Position Overview:
JOB--SUMMARY: The Care Coordination Director is responsible for Care Coordination operations for Sutter area Hospitals as assigned. The Director is accountable for all campuses as assigned. The Director works closely with the interdisciplinary, physician and administrative team to align Care Coordination activities and achieve desired goals and metrics. The Care Coordination Director reports to the VP of Care Management. Reporting to this position are the Care Coordination supervisors and managers at the assigned facilities. The Care Coordination Director has frequent contact with Administrators, Nursing Executives and Directors, Quality Directors, Ancillary Services Directors, Sutter Connect Provider Relations, Claims and Finance departments, Medical Directors, Medical Staff leaders, physicians, payers and review agencies, contracted providers and community resources as well as some contact with case management clients and their families. REPORTING RELATIONSHIPS: The Care Coordination Director reports to the Sutter Health Bay Area VP Care Management. Reporting to this position are managers and the Care Coordination team at ABSMC.

Qualifications:
Education/Licensures/Certifications:

  • Masters in Nursing, Case Management, Health Administration, or Social Work is required;--OR equivalent education/experience CA RN licensure required for nursing candidates and LCSW required for Social Work candidates.
  • OTHER: Or evidence of enrollment in Master's Degree program and completion within 2 years. (Social Work candidates must have Masters in Social Work)--
  • Registered Nurse licensure State of Calfornia is required
  • LCSW State of California is required for candidates with Social Work background
  • Certified Case Manager is preferred Experience: --Acute hospital management in Case Management or Social Work Services required Leading innovative case management programs and teams Strong problem resolution abilities and customer relations skills Planning, leading and organizing the resources of a team Expertise in utilization management and discharge planning required Analyzing, interpreting and presenting financial utilization data Leadership experience in case management in a third party administration or managed health care setting preferred Performance management and effective leadership Utilizing Lean principles to motivate people--and drive change. Knowledge: -- Knowledge of ACMA, CMSA & NASW Standards of Practice required-- -- Knowledge of available health care and community resources -- A broad knowledge base of health care delivery and case management within a managed care environment required -- Comprehensive knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but not limited to: CMS, Title 22, CHA Consent Manual, and the TJC. -- Excellent verbal and written communication skills. -- Group presentation design and facilitation skills. -- Demonstrated ability to develop and manage complex projects. -- Working knowledge of Inter-Qual criteria preferred. -- Ability to promote teamwork and to effectively function in teams, both as a leader and as a team member. -- Ability to interact effectively with key internal and external constituents using collaboration, negotiation and analytical problem resolution skills. -- Ability to work effectively in a fast paced environment, directing and managing multiple and complex projects. -- Analytical and mathematical skills -- Demonstrated ability to implement continuous quality improvement processes and techniques, including benchmarking and outcomes measurements. -- Intermediate to advanced PC skills, word processing, spreadsheets and PowerPoint required

    This position may regularly work, store, prepare, receive, unpack, transport, dispose of, or administer drug(s) identified as hazardous, or potentially hazardous, by the National Institute for Occupational Safety and Health (NIOSH) for purposes of USP 800. Organization: Eden Medical Center
    Employee Status: Regular
    Employee Referral Bonus: No
    Benefits: Yes
    Position Status: Exempt
    Union: No
    Job Shift: Day
    Shift Hours: 8 Hour Shift
    Days of the Week Scheduled: Monday-Friday
    Weekend Requirements: Other
    Schedule: Full Time
    Hrs Per 2wk Pay Period: 80
    Applications Accepted: All Applications Accepted
    Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/VeteransApply Apply Later Fraud Alert: Please be aware of scams involving fraudulent job postings ...Learn more Are you a Sutter Health Employee who knows someone ready to pioneer the change with us? Enter your email below and then use the share icons above to make the referral. Join our Talent Network and get Sutter Health news and job alerts delivered to your inbox. Our employees are shaping the future of healthcare. Find a career at Sutter.

Keywords: Sutter Health, Castro Valley , Director, Care Coordination-Sutter Eden Hospital, Executive , Castro Valley, California

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