Director of Case Management amp Social Services - Case Management

Profile

Job Location:
Fayetteville, AR
Job Type:
Full Time
Department
: Case Management
Shift
: Monday - Friday
Job Posting:
Director of Case Management & Social Services
Employment Type:
Full Time
Location:
Washington Regional Medical Center - Fayetteville, AR
Department:
Case Management
Shift:
Monday - Friday
FTE:
Job Number:
JO-2202-45357
Date Posted:
2/8/2022
Categories:
Licensed Professional
Washington Regional Medical System is our regions only locally governed, community-owned, not-for-profit healthcare system. The System includes a 425-bed acute care hospital known as Washington Regional Medical Center which is located in Fayetteville, Arkansas. The Hospital is supported by the System- including primary, specialty and urgent care operations - that span across Northwest Arkansas into Harrison and Eureka Springs. Being heavily supported and invested in our community makes Washington Regional a unique employer, encouraging staff to give back to the community in which we live and work and give back to each other.
Washington Regional Mission, Vision and Values prove to be a firm foundation and inspiration from which we fulfill our purpose.
Mission
: Washington Regional is committed to improving the health of people in communities we serve through compassionate, high quality care, prevention and wellness education.
Vision
: To be the leading healthcare system in Northwest Arkansas --- the best place to receive care and the best place to give care.
Values
: To treat others patients and their families, visitors, physicians, and each other as we would want to be treated.
Position Summary
The role of the Director of Case Management & Social Services reports directly to the Vice President of Innovation and Care Transitions. The Director is responsible for clinical leadership and the operational oversight of Case Management & Social Services. The Director is responsible for organizing, planning, directing, and evaluating patient care and services. The Director partners and collaborates with system leadership and care teams to implement patient care delivery models, evidenced based clinical and professional standards and policies, as well as innovative staffing, recruiting and retention strategies. Supports and facilitates an interdisciplinary/interdepartmental approach to the delivery of patient care and services. Under the direction of the VP, the role will be assigned Hospital level patient care/process improvement activities in accordance with the strategic plan and defined Hospital and System policies and objectives.
Essential Position Responsibilities
Coordinate and oversee all direct and indirect patient services provided by Case Management & Social Services personnel
Create, monitor, and effectively manage departmental budget
Develop and implement case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation
Develop and implement policies and procedures to guide the provision of care management services
Responsible for coordinating and delivering care management operations within the organization.
Document, develop, and coordinate in-service education for staff and organization
Coordinate and ensure accurate patient documentation and records; implement and monitor effective quality assurance activities
Evaluate patient care to prevent unnecessary and inappropriate medical care while seeking treatments that balance clinical and financial concerns with the family`s needs and the patient`s quality of life.
Hire and maintain effective performance management for all staff
Ensure staff are properly oriented, trained and remain current in relevant competencies
Monitor, measure and provide feedback directly to staff on performance
Timely and regular audit of care management to ensure accuracy and relevance
Timely and thorough preparation for regulatory surveys
Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards
Monitor and ensure adherence to applicable clinical and administrative regulations, policies and procedures
Assure compliance with all local, state, and federal laws regarding licensure and certification of organization personnel
Develop, monitor and maintain best practices for care management standards
Assure proper maintenance of clinical records in compliance with local, state, and federal guidelines
Monitor and ensure all activities are compliant with TJC regulations; ensure staff are familiar and trained on TJC regulations
Assure timely quality assurance audits are conducted as needed
Attend case conferences as needed to ensure proper process are in place to ensure high quality care
Facilitate coordination and integration of patient care
Other duties as assigned by VP or Executive Leadership
Qualifications
Education: Masters degree in business, healthcare administration or related field preferred.
Licensed Arkansas Registered Nurse or Social Worker required
Minimum of seven (7) years of directly related healthcare leadership experience including data collection and analysis, leading teams and personnel to success around a common goal, experience and success in developing and implementing systematic changes and experience in implementing policy and procedures that perpetuate a customer centric environment.
Possession of a valid Arkansas driver`s license is a requirement for this job.
Professional Skills
Approximately seven to ten years progressively more responsible related work experience which includes five to seven years supervisory and managerial experience, in order to effectively direct and manage activities within patient and customer experience and services.
Advanced interpersonal skills necessary in order to provide effective leadership to subordinate personnel and effectively communicate with a wide variety of hospital personnel, community residents and outside agencies personnel.
Advanced analytical skills necessary in order to develop and implement new policies techniques and procedures, determines need for capital equipment, personnel, expense and revenue budgets, and prepare special and recurring reports or analyses.

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