Director of care management services inpatient

• Coordinate the planning, implementation and evaluation of the inpatient care management and case management programs
• Responsible for the ongoing development of care management implementation strategies
• monitoring and evaluation of project outcomes
• effectively communicating and integrating the mission, values and strategic initiatives of the hospitals and the Health Sciences Center
• Ensure adherence to Hospitals and departmental policies and procedures
• Patient care assignment may include neonate, pediatric, adolescent, adult, and geriatric age groups
• Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
• Participate in the assessment, development, implementation, evaluation, and attendance of educational needs for personnel based on quality assurance indicators
• Assist in the development of a care delivery system consistent with changes in patient needs, medical technology and the professions involved with specific case types
• Maintain awareness of ongoing Quality Assurance studies within the unit
• assist with the implementation of corrective actions determined necessary
• Collaborate with medical staff and other hospital personnel to plan, develop, implement and evaluate protocols, patient care policies and procedures and standards of care
• Coordinate response to external requests for presentations, site visits and consultation regarding Care Management
• Perform utilization review and management, including quality review and case review for third party payor requirements
• Advise and assist medical staff and healthcare personnel in the utilization management process
• Maintain, monitor and ensure accuracy and confidentiality of patient medical records
• Evaluate and monitor utilization review process and the collection of data
• Develop and recommend department operating budget and ensure that department operates within budget
• Supervise and coordinate efforts to define, monitor and improve departmental productivity
• Evaluate department performance and effect or recommend modifications to operating procedures as appropriate
• Organize, direct and coordinate functions and activities in department
• Initiate and participate in operational and program planning, implementation and evaluation
• Maintain established hospital policies, procedures, objectives, quality assurance program, and safety standards
• Develop, implement and evaluate short and long range goals for assigned clinical area(s) in conjunction with hospital administration
• Direct the care and maintenance of department supplies and equipment
• Adjust staffing to meet needs and to provide adequate coverage of department
• Analyze potential ramifications of alternative staffing patterns, materials and equipment
• Develop efficient organizational structure. Supervise employees and select, terminate, train, educate, correct deficiencies, perform appraisals, issue discipline, counsel, schedule work assignments
• encourage staff teamwork and growth initiatives
• Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
• Follow patient safety-related policies, procedures and protocols
• Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
• Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
• Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
• Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"

• Master's Degree in Health Related Discipline
• 4 years directly related experience
• New Mexico RN or Social Work license

• Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
• MSN or DNP

Relocation Assistance Available