The Director of Care Management (DCM) directs, plans, implements and evaluates all activities of the inpatient RN Case Management team. DCM develops processes to monitor hospital referrals to ensure effective management of admission and discharges. The DCM will ensure effective patient throughput, timely admission and a positive patient and family experience during their admission and discharge from hospital. The DCM will create an environment for continuous quality improvement and support the use of best practices to make recommendations for process improvement. The DCM will create a feedback loop to develop systems for patient admission and discharge that ensure timely and accurate transfer of information and provide specific data to understand and analyze utilization of hospital resources to improve efficiency, ensure quality care, and support accurate hospital billing to improve hospital financial outcomes.
Work hours are generally, Monday-Friday, 8am-5pm in office
Responsibilities
· Leads RN Case Management team by developing, communicating, and building consensus for goals and programs that support excellence in the admission and discharge processes for patients, residents and families.
· Analyzes all incoming referrals for appropriateness, assessment of clinical, psychosocial, and rehabilitation needs, and understanding of discharge disposition.
· Directs, plans, implements and evaluates care coordination of patient care across the continuum of care; collaborates with other hospital directors, establishes goals and objectives for the department.
· Collaborates with physician leadership to develop strategies, formulate plans and implement interventions to improve the safe admission and discharge of patients.
· Develops and implements policies and procedures to create clarity for internal and external providers regarding clinical and rehabilitation services.
· Creates strong relationships with referring institutions through ongoing collaboration, site visits, and the development of clear and consistent practices for admitting patients.
· Collaborates with Medical Director and Nurse Educators to develop strategies to mitigate costs for transporting patients through the development of new skills and clinical programs on the inpatient unit.
· Analyze patient and resident data to understand referral patterns, length of stay trends, and barriers to discharge in order to create strategies for expansion or modification of diagnosis specific services at the hospital.
· Creates strong partnership with Patient Access and Social Work teams to support the financial and psychosocial needs of the patients and ensure that all referrals are reviewed for appropriateness prior to admission.
· Performs other functions at the discretion of the Medical Director and/or Medical Office Leadership.
Qualifications
· Experience in a pediatric setting required, PICU experience required.
· Experience with Meditech or another EMR is helpful.
· Experience in Quality Improvement project management preferred.
Education, Licensure, and Certification
· New York State licensure as a Nurse Practitioner is required.
· A Master of Science in Nursing is required.
· PRI and Screen Certification helpful.
Pay: $150,000.00 - $170,000.00 per year
Work Location: In person
