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SRB - Care Coordination Director

Description   SummaryOversee the delivery of coordinated, high quality and patient centered care, promote the professional growth and development of theCase Managers andClinical Social Workers, and develop operational efficiencies.  Ensure case management and social service practices comply with department, center and regulatory policies, procedures and professional standards of practice.   Develop, implement, and maintain Departmental Standards of Practice and Policies and Procedures.  Serve as a liaison and resource for theNurse Managers, Therapy Director,Physicians and other clinical and non-clinical services and departments within the organization in the areas of case management and social services.  Participate in quality improvement and program development activities. Participate in development and assurance of general and program specific competencies as it relates to the patient population served.  Key Responsibilities Coordination of care, from admission through discharge, is ensured consistent with patient expectations. Team members are hired, mentored, and continually developed to achieve stated goals for performance.  Performance evaluations are completed accurately and timely in accordance with organization standards. Staff orientation is developed, conducted and evaluated to meet department standards. Business plan is aligned with PCC strategy and is updated at least annually to drive change to meet market and organizational goals in collaboration with the PCC Leadership and the Executive Director. Direct clinical practices are managed to ensure compliance with all regulations and achievement of targeted quality, service and financial outcomes. Compliance audits are conducted to ensure adherence to department standards of practice, policies and procedures. Department quality improvement projects are actively engaged in to achieve established objectives. Work assignments are distributed equitably among team members and meet the needs of the department. Staffing schedule is developed and maintained to ensure coverage meets anticipated needs. Potential long length of stay patients are monitored to resolve barriers to discharge and support is provided to team members to achieve length of stay targets. Denials and appeals are reviewed within established timeframes. Case management and social service Standards of Practice, Policies and Procedures are developed and implemented in collaboration with Senior Leadership. Interface with Partners ICMP program, coordinating tele-rounds and other communication forums as required. Committee leadership and engagement drives achievement of organizational and department goals. Complimentary services provided to patients while under SRB care both on site - such as hospice and mental health, and off-site are coordinated. Additional department, organization, or network activities are completed per established objectives. PCC Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.    Qualifications  ExperienceRequired Minimum of five years supervisory or management experience with professional staff in a healthcare setting. Preferred Five years of related skilled nursing and/or rehabilitation sector experience and certification in case management preferred. Case management, utilization review, or discharge planning experience in an acute, rehabilitation, behavioral health, skilled nursing, or home care is preferred. Health planexperience in utilization review and case management will also be considered.   LicensureRequired Current license to practice in Massachusetts in Nursing (RN) or Social Work (LiCSW).   Skills  Knowledge of community services and the health care system is required. Knowledge of medical review criteria, and levels of care is required. Computer proficiency required.  Microsoft office applications preferred with ability to learn new software. Highly developed communications and interpersonal skills, working with diverse population. Work independently, be self-directed and contribute as a member of a team. Anticipates challenges and develops and implements strategies for addressing them. High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations. Attention to detail. 3072047
Salary Range: NA
Minimum Qualification
5 - 7 years

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