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Director of Case Management and Population Health

Company: Catholic Medical Center
Location: Manchester
Posted on: January 12, 2022

Job Description:

Catholic Medical Center is looking to hire a Director of Case Management and Population Health to join their team! Offering competitive salary and sign on bonus!!
The Director of Case Management and Population Health will oversee the operations and staff for Case Management, Social Services, off-site Care Coordinators and Utilization Review. Responsibilities include, but not limited to, directing the work of the Case Management department in accordance with federal, state and local guidelines and regulations; facilitates appropriate utilization of hospital and community resources to provide high quality, cost-efficient care, and achieve throughput, length of stay, and clinical quality goals; builds and maintains strong working relationships with post-acute partners to ensure successful transitions of care and positive patient outcomes; reviews re-admissions and oversees opportunities to reduce preventable re-admissions; presents reports and statistics to the Utilization Review; responsible for the departments budget, contracts with external vendors, and applicable policies/ standard operating procedures/ work instructions; plans and implements recruitment and retention strategies for areas of responsibility in collaboration with Human Resources.
The Director is responsible for providing leadership, direction and support in the development, integration, management and growth of Medicare Advanced Payment Models - which may include Accountable Care Organization (ACO, Bundled Payments, and/or other future models of Medicare reimbursement - as well as value-based contracts with commercial insurers. Responsibilities include network development, liaison in managing network contracting and payer relations, finance, budget management, advanced analytics, member services and legal/regulatory compliance. In close partnership with the Associate Chief Medical Officer , the Director will be responsible for setting a strategic vision for Care Management and overseeing day-to-day operations of the program. He/she will work with the Clinical Population Health Analyst to maintain close monitoring of outcomes and performance data, and the Clinical Resource specialist to ensuring adjustment to program design and implementation to achieve program goals, In addition the Director will be accountable for helping to drive quality outcomes.
Education: Bachelor's Degree in nursing required (Masters degree in Nursing or Business preferred.)
Experience: Minimum of five years successful administrative experience in a hospital Case Management Department. Experience in program development is required.

  • Current active licensure in the State of New Jobble

Keywords: Catholic Medical Center, Manchester , Director of Case Management and Population Health, Executive , Manchester, New Hampshire

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