Job Description

  • Job LocationUS-AZ-PHOENIX
    Requisition ID
    2019-20102
    Shift
    01 - Days
    Department
    Case Mgmt
    Facility
    Support Services
    Position Type
    Regular Full-Time
    Physical Work Location and New Employee Orientation Location : Address
    19829 N 27TH AVE
    Work Hours
    8:00 a.m. - 5:00 p.m.
  • Overview

    HonorHealth is a non-profit, local healthcare organization known for community service and outstanding medical quality. HonorHealth encompasses five acute care hospitals with approximately 11,500 employees and 4,500 volunteers, over 70 primary and specialty care practices, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.

    HonorHealth is a leader in medical innovation, talent and technology with a genuine commitment to your growth. The health system's vibrant careers take place in an environment filled with opportunity and respect because we see the HONOR in you.

    Qualifications

    Education
    Bachelor's Degree Nursing or Master's Degree Social Work Required

    Experience
    Two (2) years managing a Case Management Department Required

    Licenses and Certifications
    Registered Nurse (RN) State And/Or Compact State Licensure Or Licensed Social Worker (LCSW, LMSW) Required

    Responsibilities

    Job Summary
    The Case Management Regional Director is accountable and responsible for departmental assessment, problem identification, budget, outcome monitoring and reporting, long term planning and evaluation of all operational aspects of the inpatient Case Management Departments at multiple hospitals within a defined region of the network. Provides Case Management direction, including clinical and financial management at the patient level, to ensure the consistent high quality provision of care coordination, transitional planning and concurrent utilization management. Provides leadership and coordination of Case Management, working closely with the site Chief Medical Officers and the Vice President of Care Coordination. Develops and ensures close working relationships internally with other system departments and physicians and externally with health plans, care facilities, agencies, other hospitals and vendors, as required. Utilizes data to make informed decisions related to the delivery and outcomes of Case Management, department productivity and staffing. Serves as a change agent for implementation of new programs and existing ones.
    • Develops an environment that supports excellence in personalized patient case management and service by leading and directing implementation of the efficient movement of the patient through the continuum of care, utilizing Case Management principals of Care Coordination, Transition Planning and Utilization Management. Focus is placed on critical factors and evidence-based knowledge necessary to determine the patient’s health functional status and psychosocial well-being. Assures management processes are in place to achieve the application of Case Management interventions necessary to meet timely effective patient discharges at the lowest cost, while maintaining quality of care, patient and family satisfaction and payor requirements. Maintains sound financial practices that support the outcomes of the program and the financial goals of the organization. Develops and maintains effective relationships with hospital departments providing support services. Monitors services provided and collaborates in developing methods to improve utilization and efficiency. Maintains appropriate skills to perform strategic planning for the support of, or the development of, existing or new programs or services as required. Monitors DRG financial performance, identifies trends, and collaborates with medical staff leadership to achieve optimal financial performance.
    • Oversee the staff and ensure adequate staffing levels, inclusive of hiring/onboarding, evaluating, managing performance, coaching and developing employees ensuring employee productivity, quality of work, and alignment of goals with our mission, vision, and values. Ensure compliance with all policies, financial stewardship by being accountable for the financial integrity around development and maintenance of department budget.
    • Fosters collaborative partnerships and works closely with all disciplines within Case Management with medical staff and members of all related system departments, especially Nursing. Plays a leadership role with Case Management Managers/Supervisors and staff in developing and maintaining community relationships, including other patient care facilities, agencies, other hospitals, health plans and vendors. Responsible for restructuring and changing processes within department to meet hospital, and system wide strategic plan and goals.
    • Provides input on strategic metrics (short and long term) in line with organization’s system goals to achieve the necessary clinical and financial outcome measures identified. Assures the implementation, achievement and evaluation of the utilization goals and action plan of the system. annually through consistent monitoring. Develops, evaluates internal processes and identifies process improvement needs to ensure quality and cost effectiveness, supports Managed Care's strategic objectives. Responsible for education of staff to current Medicare, AHCCCS rules and regulations.
    • Develops and evaluates strategies for excellence in patient, physician, employee and intra-departmental satisfaction. Accountable for the ongoing evaluation of the multi-disciplinary collaborative process of Case Management and management of organization policies and procedures as they relate to the delivery of Case Management services.
    • Sets directions and provides oversight for recruitment and retention strategies. Assures the Case Management Managers/Supervisors implement a consistent departmental plan for orientation and ongoing evaluation of staff competencies. Promotes departmental climate of interdisciplinary team work, through the utilization of the strengths of all disciplines, intra-department collaboration, win-win decision-making, and personal accountability. Relationships are developed and maintained with external contacts to assure quality service is provided. Partners with medical staff to assure proper utilization of resources for hospitalized patients. Rounds with Chief Medical Officer to identify opportunities for improvement in all aspects of Case Management. Reports outcome indicators for Case Management to Utilization Management Committee and Administration.
    • Facilitates and supports educational opportunities to provide innovative learning experiences for staff and students and create a culture of development that ensures a standard of competencies. Fosters collaborative relationships with educational and other external professional organizations. Maintains all regulatory education requirements. Participates in continuing education, quality improvement activities and supports membership and certification in professional organizations. Assists in the development, implementation and monitoring of protocols, along with physicians and other departments. Demonstrates data-based decision-making skills and facilitates utilization to comply with State and Federal regulatory agencies, accreditation agencies, and other legal regulatory bodies. Supports service line initiatives to assure organizational and operational service line goals are met. Projects and plans for future program development, use of space, facilities and equipment for assigned areas. Maintains Case Management and discharge planning functions in accordance with accreditation licensure process. Actively supports Utilization Review Committee. Develops, maintains, and evaluates integrated systems that allow Clinical Resource Management and Social Service team to utilize Interqual criteria for hospitalized and outpatients.
    • Performs other duties as assigned.



    It is the policy of HonorHealth to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.

    Please review the Equal Employment Opportunity poster.

    Please review the Equal Employment Opportunity Poster.HonorHealth wants all interested and qualified candidates to apply for employment opportunities. If you are an applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us at EmploymentOffice@HonorHealth.com . Please indicate the specifics of the assistance needed. This option is reserved only for individuals with disabilities that are unable to use the online tools and is not intended for other purposes.

    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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