Director Care Management

Hours of Work :Mon-FriDays Of Week :8A-5PWork Shift :Job Description :Your Job:Serves as Director of Care Management responsible for implementing and supervising the day-to-day operation of the Care Management and Utilization Management Programs of the Hospital. Manages activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal achievable standards of patient care. Maintains the strictest confidentiality of all patient information.Your Job Requirements: Bachelor's degree in healthcare-related field required. Master's degree in Nursing, Health Care Administration, Public Health, Business Administration, preferred. Registered nurse graduated from an accredited school of nursing with a state license to practice professional nursing. Working knowledge of Federal, State and regulatory requirements in quality assessment, case management, resource management, hospital systems, accreditation and licensure. Ability to extensively communicate with outside agencies, third party payers and regulators. Ability to lead, support and build on current efforts of various groups working within the department's scope of work. Five (5) years of relevant progressive work experience in clinical healthcare, including direct experience in quality assessment and resource management. Function independently under the guidance of VP within the broad scope of department and organization-wide policies, practices and common goals. Generally refers specific problems to VP only when the clarification of operating policies and procedures may be required. Possess good analytical and problem-solving skills. Ability to work with computerized clinical information systems. Initiative, flexibility, integrity and diplomacy. Prior management experience in hospital-wide quality resource management programs, monitoring and evaluation, experience in ensuring compliance with federal and state regulations and statutes relating to healthcare delivery. Strong professional organizational and interpersonal skills required for effective and creative leadership in working with all levels of the organization including physicians, committees, senior management and trustees, as well as patients and their families.Your Job Responsibilities: Assists in the assessment of anticipated impact of external regulations and cost-containment efforts related to Utilization Review, Case Management. Attains all agreed to goals and objectives within specified time frames as part of the overall mission. Attends all required Safety Training programs and can describe his or her responsibilities related to general safety, department/service safety and specific job-related hazards. Attends all required Safety Training programs and can describe his or her responsibilities related to general safety, department/service safety and specific job-related hazards. Collaborates with other departments to create systems and problem-solve ongoing issues that affect departmental/organizational goals and/or patient care delivery. Collects, analyzes, evaluates and monitors data to achieve program goals. Confidentiality of Hospital and Patient Information Defines performance objectives and metrics for the department and assesses the level of competence of staff in a timely manner. Demonstrates a clear understanding of regulations applicable to patient care and/or other department functions. Demonstrates a commitment to a healthy work environment by modeling the desired behaviors and encouraging those in others. Demonstrates fiscal accountability for department resources and the ability to achieve outcomes within allocated resources. Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment. Demonstrates the ability to communicate the hospital's mission, vision and values, as well as departmental goals, to all staff. Demonstrates the ability to cope with and manage change and to help others do the same. Effectively communicates departmental, organizational and industrial information to staff. Follows the Hospital Exposure Control Plans/Blood borne and Airborne Pathogens. Hospital Exposure Control Standards/Blood Bourne and Airborne Pathogens Incorporates quality improvement data and/or patient satisfaction data into departmental goals. Initiates and coordinates special projects pertaining to Case Management. Manages Human Resource to ensure quality services and promote positive employee relations. Member of appropriate hospital committees, both medical STAFFnd operational. Oversees Case Management activities. Oversees the daily operation of the Case Management Department. Participates in educational programs, seminars and conferences. Promotes effective working relationships and works effectively as part of a department/unit team inter and intra departmentally to facilitate the department's/unit's ability to meet its goals and objectives. Provides leadership and guidance to other leaders and staff in goal-setting, problem-solving, resource management, and outcome achievement. Responsible for department's operational excellence and ensures department delivers quality services in accordance with applicable policies, procedures and professional standards. Responsible for fiscal management of department and ensures proper utilization of the organization's financial resources. Responsible for providing a framework to effectively manage a patient's care from onset of illness to return to health (or stabilization of illness) across the continuum of care. Staff Meeting Participation Time and Priority Management Timeliness and Attendance StandardsMethodist Dallas Medical Center is one of North Texas’ best places to work. And it keeps getting better. The flagship hospital of Methodist Health System, Methodist Dallas is a 595-bed acute care teaching and referral hospital. It is home to the only adult Level I Trauma Center in southern Dallas, the first and only Certified Comprehensive Stroke Center in southern Dallas, and the newly renovated Linda and Mitch Hart Breast Center. Celebrating more than 90 years of service, we strive to have a diverse workforce that reflects the communities we serve and welcomes the skills and talents of all groups. Our reputation as an award-winning employer shows in the distinctions we’ve earned:

Magnet®-designated hospital

150 Top Places to Work in Healthcare by Becker’s Hospital Review , 2023

Top 10 Military Friendly® Employer, Gold Designation, 2023

Top 10 Military Spouse Friendly® Employer, 2023

Level III Neonatal Intensive Care Unit

Liver, kidney, and pancreas transplantation programs

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:

Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers

150 Top Places to Work in Healthcare by Becker’s Hospital Review , 2023

Top 10 Military Friendly® Employer, Gold Designation, 2023

Top 10 Military Spouse Friendly® Employer, 2023

Equal Opportunity EmployerIt is the policy of Methodist Health System (MHS) to select, develop, and promote employees based on individual ability and job performance. It has been, and will continue to be, the policy of MHS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, national origin, age, sex, sexual orientation, gender expression, disability, marital status, genetic information or ancestry. This policy affects decisions including, but not limited to, an employee’s compensation, benefits, terms and conditions of employment, opportunities for promotion, training, development, transfer all other privileges of employment. MHS is committed to maintain a working environment free of intimidation, workplace discrimination and harassment. Retaliation or attempted retaliatory behavior that occurs as a result of an employee’s exercise of their rights under this policy or any other statutorily protected right is strictly prohibited and will be grounds for disciplinary action.