Director of Care Management at Texas Health Huguley Hospital

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support
• Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
• Nursing Clinical Ladder Program*

Our promise to you:

Joining Texas Health Hospital Mansfield - AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Texas Health Hospital Mansfield - AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Texas Health Hospital Mansfield- operates as a joint venture between Texas Health Resources and AdventHealth.

Schedule: Full-Time

Shift : Days (8:00am 5:00pm)

Location: 2300 Lone Star Road, Mansfield, TX 76063

The community you'll be caring for:

Join a family of caregivers focused on whole-person health and committed to making communities healthier.

Provide wholistic care for patients that extends to the spiritual level by praying with patients and families. Chaplains are available to meet with patients, families and team members 24 hours a day, 7 days a week to provide spiritual support.

Help develop a brand new $150 million community hospital and medical office building that will provide services such as Emergency Services, Medical/Surgical, ICU, Womens Services, General Surgery, Orthopedics, Interventional Cardiology and Gastroenterology.

Grow in your career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to Work in Healthcare. AdventHealth has partnered with Texas Health Resources, named in 2019 as one of Fortunes 100 Best Companies to Work For, to build Texas Health Mansfield, which is creating new opportunities for employment and professional growth.

Thrive in the Mansfield community, ranked by CNN/Money Magazine as #17 for Best Places to Live. Mansfield is one of the fastest growing areas of North Texas, projected to reach more than 250,000 residents by 2023. Future job growth over the next ten years is predicted to be 41%, higher than the national average of 33.5%. Mansfield has top-rated schools, over 1000 acres of parkland, quality housing, a historic downtown area, recreational opportunities for all ages, and a growing business community.

The role you'll contribute:

GENERAL SUMMARY:

Under minimal supervision and reporting to the Chief Nursing Officer the Director Care Management Women and Childrens develops and coordinates implementation of complex hospital operational strategies and length of stay management, involving physicians and multiple hospital departments, to assure appropriate utilization of hospital resources, appropriate level of care for patients, and appropriate discharge planning. Responsible for assuring appropriateness of patient admissions based on severity of illness/intensity of service criteria. Facilitates case reviews based on medical screening criteria to ensure optimum reimbursement. Responsible for case management, social worker/discharge planning processes and length of stay management for all AdventHealth CFD South Women's and Children's Care Management business units. Leads and directs Women's and Children's Care Management leaders to achieve positive care management outcomes. Responsible for building and maintaining positive working relationships with medical staff, external agencies (ECF's, sub-acute facilities, Home Care, Hospice, DCF, etc.). Provide direct oversight of Care Management billing reconciliation and accounts payable. Responsible for on-going operations, short- term and long-term planning and development of the outcome's management service area of Women's and Children's Care Management. Responsible for overseeing research, development, and implementation of educational materials and training, responsible for designing integrated leadership development programs to drive growth and accountability across the Women's and Childrens Care Management service line through the Central Florida Region. Oversees Care Management CMS and regulatory compliance. Develops and implements state-of-the-art performance improvement and outcomes management programs that enhance the operational, financial, and clinical performance of the organization. Implements and oversees the maintenance and use of databases and systems for measuring, monitoring, and tracking utilization and performance changes. Works closely with physicians and the campus leadership team on utilization/case management issues. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you'll bring to the team:

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES :

• Oversees the departments recruitment and retention activities, taking action to ensure adequate staff and leadership in care management.
• Actively engages with post-acute care entities to improve patient care transitions and decrease readmissions.
• Leverages and leads technology change management to improve staff efficiencies, drive positive patient outcomes, and maximize the tools care managers utilize to perform their roles.
• Other duties as assigned.
• Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services.
• Ensures compliance with CMS CoPs for Discharge Planning as well as related federal and state regulations.
• Responsible to participate in Corporate Care Management meetings, cascade information, and implement strategies with standard work and processes.
• Develops and oversees the implementation and compliance with Care Management policies and standard operating procedures.
• Collaborates with interdisciplinary hospital leaders and executives to achieve organizational goals.
• Develops and meets operational budget performance with oversight to assure capital and fiscal accountability.
• Partners with Utilization Management for the Utilization Review Committee as well as day-to-day operations.
• Identifies improvement opportunities and develops, implements, and monitors action plans.
• Educates and mentors facility Care Management staff and the interdisciplinary teams on data, outcomes, and opportunities.

Qualifications

The expertise and experiences you'll need to succeed :

EDUCATION AND EXPERIENCE REQUIRED:

Completion of Masters Degree program in Nursing.

Currently licensed to practice as a Registered Nurse in the state of Texas, or in a qualifying compact state.

3 years of manager level (or above) experience in care management/social work leadership 5 years of care management experience performing hospital discharge planning

EDUCATION AND EXPERIENCE STRONGLY PREFERRED:

5 years in care management leadership (manager level or above) in addition to 5 years of direct care management/utilization management experience and increasing leadership responsibility

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Case Management

Organization: Texas Health Mansfield

Schedule: Full-time

Shift: 1 - Day

Req ID: 25044888

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.