- Offer skills and expertise to contribute to designing and implementing clinical continuum case management for all patients, including special populations
- Develop, implement, and support a comprehensive case management program incorporating pre-admission screening, advanced staff education, inpatient and outpatient case management, social services, discharge planning, placement, and customized utilization management for general and high-risk populations. Provide consultative services for clinical process redesign development across facilities, regions, system leaders, and clinical staff
- Act as a liaison between existing resources at the local level to encourage knowledge sharing and identification of best practices
- Stay updated on industry changes and serve as a repository for disseminating national best practice models
- Contribute actively to building a technology-driven clinical decision support system capable of monitoring medical resource usage, identifying learning opportunities for improved care management
- Aid in designing and implementing case management strategies for special needs populations, such as chronically ill, frail elderly, and managed Medicaid recipients
- Assist in developing standardized reports related to acute care episodes based on physician, payer, diagnosis, MS-DRG, MDC, utilization, and various costing methods to offer providers practical tools to track medical resource consumption and enhance clinical quality and financial outcomes
- Create educational programs and tracking systems to sustain improvements from care management interventions, including documentation and coding initiatives
- Establish and implement an ongoing assessment process to enhance operational efficiencies
- Bachelor's Degree in Nursing
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Director Care Management
3 weeks ago
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Director Managed Care
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Program Director Care Management
1 week ago
CHRISTUS Health Irving, United States· Summary: · The Program Director of Care Management is responsible for providing consultative, educational development, and support services to the acute care facilities and affiliated networks in areas of clinical excellence; case management, and improved operational efficienc ...
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Program Director Care Management
1 week ago
Christus Health Irving, United States· Summary: · The Program Director of Care Management is responsible for providing consultative, educational development, and support services to the acute care facilities and affiliated networks in areas of clinical excellence; case management, and improved operational efficienc ...
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RN, Registered Nurse Care Manager
4 days ago
Christus Health Irving, United States· Summary: · The RN Care Manager (CM) II works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge. The CM ensures that the patient is progressing toward desired outcomes by continuously monitori ...
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Nurse Care Manager
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Travel Registered Nurse RN Care Management
1 week ago
IDR Healthcare Irving, TX, United States TemporaryIDR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Irving, Texas. · Specialty: Case Management · ~ Shift: 12 hours, days · ~ Employment Type: Travel · IDR Healthcare is an awarding winning staffing firm that believes it is a privilege and ...
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Director Care Management
1 month ago
Christus Health Irving, United States Full timeDescription · Summary: · Under the direction of the VP Network Operations, the Director of Care Management is directly responsible for the development, management, and oversight of Care Management and Post-Acute functions for Population Health, CHRISTUS Health Quality Care Allian ...
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Program Director Care Management
1 week ago
Christus Health Irving, United States**Summary**: · The Program Director of Care Management is responsible for providing consultative, educational development, and support services to the acute care facilities and affiliated networks in areas of clinical excellence; case management, and improved operational efficien ...
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Managed Care Coordinator RN/LPN
2 weeks ago
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RN Managed Care Coordinator
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Care Manager
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Employee Care Manager
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Medical Care Manager
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Care Transition Manager
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Manager, Spiritual Care
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Behavioral Care Manager
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Care Transition Manager
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SW Case Manager/Care Management
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Program Director Care Management - Irving, United States - Christus Health
Description
Summary:
The Program Director of Care Management plays a crucial role in providing consultative, educational development, and support services to acute care facilities and affiliated networks in areas of clinical excellence, case management, and operational efficiencies. Additionally, this position serves as a content expert for the clinical information system development to align clinical delivery with the business and operations of CHRISTUS Health entities. To drive improved financial outcomes through clinical process enhancements, the incumbent must possess recent expertise as a Director of Care Management and be prepared to step in as an Interim Director when necessary.
Requirements:
Work Type:
Full Time
