סקירה כללית
^^משרה זו נלקחה מ Career^^Employment Type: Full time Shift: Day Shift Description: Job Title: Director of Care Management Employment Type: Full
• time Shift: Day Shift, Monday
• Friday Location: St. Mary Medical Center
• Langhorne, PA Nazareth Hospital
• Philadelphia, PA Position Purpose: The Director of Care Management will direct the department in a collaborative model focused on patient
• centered care and the deliberate organization of services across the continuum. This role bridges the acute setting and community transition by establishing formal partnerships and ensuring seamless information sharing among multidisciplinary teams to eliminate barriers to discharge. The goal is to facilitate communication and resource coordination through advocacy, education, and comprehensive assessment of social determinants, while managing transitions and disease management programs. Responsibilities include the oversight of compliance standards and clinical outcomes
• specifically targeting reduced fragmentation in care and optimized length of stay to improve readmission rates, capacity management, and financial indicators. What You Will Do: Directs the overall care management program, including case management, social work, and utilization review. This involves setting departmental goals, establishing policies, and managing budgets. Maintains collaborative relationship with Medical Staff and facilitates education on documentation, government regulations and payer contracting matters Oversees processes to ensure patients are at the correct level of care (e.g., observation vs. inpatient) and that hospital resources are used efficiently. Lead the Utilization Management Committee to report on denial trends and resource consumption Assures hospital adherence to all Federal, State, and Local regulatory and compliance guidelines related to utilization Oversight of critical processes related to compliance of both medical necessity and appropriate level of care; coordinates utilization review processes to assure adherence to regulations Supports the Utilization Management and Appeals Supervisor and the Manager of Care Management to assure the functions of care coordination in the acute setting meet the goals of resource consumption, capacity management and patient centered care Develops programs to support length of stay initiatives to manage capacity and assure the right care at the right time Assures hospital adherence to all regulatory guidelines related to discharge planning Continuously seeks best practice approaches to assuring patients are discharge ready including coordination of services, coaching, and transition of information Minimum Qualifications: Master of Science in Nursing (MSN) degree from an accredited school of nursing required. Current Registered Nurse license by Pennsylvania Board of Nursing or Compact State. At least 3
• 5 years' leadership experience in case management CCM (Certified Case Manger) or ACM (Accredited Case Manager) preferred Position Highlights and Benefits: Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from the first day of employment. Work/Life balance with flexible schedules. Free onsite parking. Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all. Referral Rewards Program About us: St. Mary Medical Center is a beautiful 53
• acre state
• of
• the
• art facility comprised of more than 700 physicians, nearly 3,000 colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect. St. Mary attracts top doctors, introduces cutting
• edge technologies and implements advanced procedures to meet the healthcare needs of the people it serves, including the nearly 630,000 residents of Bucks County. Nazareth Hospital serves Northeast Philadelphia and the surrounding region. With over 160 inpatient beds and many outpatient services, Nazareth Hospital has a broad range of specialties to meet patients’ health care needs. Nazareth Hospital offers outstanding diagnostic, medical, surgical and therapeutic care with state
• of
• the
• art technology. With the dedication of 1,200 employees and 350+ physicians and specialists, Nazareth Hospital treats patients and their families with respect and compassion while providing health care services in response to the changing needs of our community. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person
• centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Trinity Health is one of the largest not
• for
• profit, faith
• based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well
• being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity
• health.org. You can also follow Trinity Health on LinkedIn.
דרישות המשרה
include the oversight of compliance standards and clinical outcomes
• specifically targeting reduced fragmentation in care and optimized length of stay to improve readmission rates, capacity management, and financial indicators. What You Will Do: Directs the overall care management program, including case management, social work, and utilization review. This involves setting departmental goals, es
