Director Care Management

Join Cottage Health as the Director Care Management. The Director Care Management is responsible for the oversight and direction of all clinical, business, safety, quality and regulatory dimensions relevant to the inpatient and outpatient Care Management, Social Work, and Community Case Management. Partner with CH Population Health program to develop sustainable patient connections with community resources to promote healing and overall health.

QUALIFICATIONS

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Minimum: Graduate of an accredited school of Nursing or Social Work, current RN or LCSW licensure in California or eligible.

Preferred: Master's Degree.

CERTIFICATIONS, LICENSES, REGISTRATIONS

Minimum: Current RN or LCSW license. Accredited Case Management (ACM) or Case Management Certification (CMS/CCM) to be obtained within 6 months of hire.

TECHNICAL REQUIREMENTS

Minimum: Strong analytical abilities. Intermediate proficiency in Word, Excel, and PowerPoint. Quality Management skills including team facilitation, data analysis, and report generation. Extensive knowledge of case management and social work concepts and practice standards, clinical documentation integrity, government regulations, payer reimbursement, Interqual, utilization requirements, crisis intervention, relevant community services, and population health.

Preferred: Knowledge of Accountable Care Organizations and Bundled Payment Systems. Familiarity with and Epic and Quality database.

YEARS OF RELATED WORK EXPERIENCE

Minimum: Three years of progressive experience in leadership and case management required.

Preferred: 5 years of progressive experience in leadership and case management required. Two years clinical documentation improvement experience.