Director, Care Management and Utilization Management
End Date: 11/30/2023
Location: Wilmington, Delaware
Position Type: Management/Executive, Professional
Shift: Day Shift, No Rotation
At ChristianaCare, we serve our neighbors as respectful, expert, caring partners in their healthcare. We do this by creating innovative, effective, affordable systems of care that our neighbors value. Supporting this mission, we are seeking an innovative Director, Care Management and Utilization Management to lead our team.
If you are seeking a role where strategic thinking and performance improvement is valued this is the career you have been searching for!
ChristianaCare Offers
- Full Medical, Dental, Vision, Life Insurance, etc.
- Two retirement planning offerings, including 403(b) with company contributions
- Generous paid time off with annual roll-over and opportunities to cash out
- 12 week paid parental leave
- Tuition assistance
- Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
PRIMARY FUNCTION:
To provide leadership and management of operations of case management, social work, and utilization management functions and staff, including compliance with regulatory standards, conditions of participation, facilitation of care, transitions of care planning, utilization management and clinical revenue integrity, front-line quality and performance improvement initiatives.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Provides leadership in achieving organizational goals related to length of stay, excess/avoidable days, readmissions, and medical necessity/denials management.
- Maintains positive relationships and collaborates with external stakeholders in order to maximize outcomes and regulatory compliance.
- Promotes a professional practice environment that fosters teamwork and collaboration among team members. Ensures staff growth and development through mentoring programs and identifying and addressing gaps in competencies.
- ring to the management team. Assists with staff positive coaching/disciplinary actions as necessary.
- Ensures compliance with revenue/expense, capital equipment, renovation, and manpower operating budgets for assigned cost centers; monitors compliance with budget on a regular basis.
- Performs assigned work safely, adhering to established departmental safety rules and practices; reports to the supervisor, in a timely fashion, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients or visitors.
- Performs other related duties as directed.
EDUCATION AND EXPERIENCE REQUIREMENTS:
- Bachelor of Science degree in Nursing with professional licensure required.
- Master's degree in nursing, Healthcare Administration, Business, Health Care Delivery Science or related field required.
- Minimum 5 years of experience in Utilization Management, Case Management, Acute Care and/or Ambulatory Care required.
- Minimum 3 years of supervisory/management experience
- Certified Case Manager (CCM), Accredited Case Manager (ACM) or equivalent certification preferred.
- Demonstrated capability in development execution of strategic initiatives.
- Demonstrated track record of improving care outcomes.
- Demonstrated capability in setting and delivering program goals.
SPECIAL REQUIREMENTS:
- Active Delaware license. CCM, ACM or equivalent certification required within 2 years.
EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
“Both as a patient and a caregiver, I have witnessed our core values of love and excellence firsthand.”
David Hoehn
Registered Nurse
“I am so proud to be a part of ChristianaCare due to its emphasis on our core values of Love and Excellence.”
Tabe Mase
Director, Employee Health
“What started out as a temporary assignment has taken me on a career journey as a Medical Assistant to my current role as a Social Worker.”
Luis Juarez
Social Worker
“During our COVID-19 response I witnessed each of us coming together, not only as individual teams, but as an organization.”
Nicole Maher
Administrative Services Coordinator
“For me, ChristianaCare is a place of personal growth.”
Joseph Jacobs
Conference Support AV/IT Analyst
“I have been with ChristianaCare for 9 years. Through these 9 years, I have really been able to grow my career and apply my talents within the company.”
Keysha Ryder
Director, Practice Operations
“ChristianaCare is deeply committed to professional development. As we seek new knowledge and continuously improve through feedback, we support our case managers through the achievement of professional certification in case management.”
Patty Resnik
Vice President, CareVio
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