RN Job In Irving, Texas
Program Director Care Management
Irving, Texas 75039 Type of Facility: Hospital
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 efficiencies. In addition, this position will serve as a content expert for the development of the clinical information system to tie the clinical delivery to the business and operations of CHRISTUS Health entities. As part of the transition of the clinical process improvements to demonstrated improved financial outcomes, this position will have knowledge of revenue cycle process improvement. This incumbent must have recent expertise as a Director of Care Management and be able to work as an Interim Director at a facility if needed.
- Provide the skills and expertise to assist in the design and execution of the clinical continuum case management for all patients, including special populations
- Develop, implement and support a case management program with the functional integration of pre-admission screening, advance staff education, provide impatient and outpatient case management including social services, discharge planning and placement; and tailor utilization management targeted to general and high risk populations Provide consultative services in the areas of clinical process redesign development for facilities, regions, system leaders and clinical staff
- Serve as a liaison between existing dedicated resources at the local level to promote shared learnings and best practice identification and communication
- Maintain awareness of industry changes and serve as a resource for sharing national best practice models
- Actively contribute to the development of a technology driven clinical decision support system that can monitor medical resource utilization and flag learning opportunities for improved care management
- Assist with the design and execution of case management for special needs populations (i.e.. chronically ill, frail elderly, and managed Medicaid)
- Assist in the design/development of standardized reports relative to acute episodes of care by physician, payer, diagnosis, MS-DRG, MDC, utilization, as well as variable direct and indirect costing methods to provide practical tools for providers to monitor medical resource consumption and assist in maximizing clinical quality and financial outcomes
- Develop educational programs and tracking systems to maintain gains made with care management interventions, to include documentation and coding initiatives
- Develop and implement an ongoing assessment/reassessment process for operational efficiencies
Requirements:
- Bachelor's Degree of Science in Nursing
Work Type:
Full Time
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CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.