Diversity Jobs

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Job Information

Swedish Health Services Executive Director, Case Management in Seattle, Washington

Description:

THE ROLE

Reporting to the Regional Chief Nursing Officer, the Executive Director of Case Management is responsible for leading, setting strategic direction, coordinating and supporting care management activities for the Puget Sound inpatient care management functions. The Executive Director works collaboratively with inter-professional teams of clinicians across the continuum. The Executive Director works in partnership with Medical, Nursing, Quality, Program, Home and Community Services, Puget Sound Physician Enterprise, Utilization Management, and external partners across the state to achieve optimal patient care, attainment of financial goals and development of leaders. Approximately 80% of this role is directed toward advancing inpatient Clinical Care Management (CM) practice and 20% toward improving cross-continuum coordination.

ESSENTIAL FUNCTIONS

  • Provides leadership and strategic planning to operationalize standard care management services within the region where appropriate, and develops a coordinated approach to care management across the region's continuum, including the development of a post-acute care strategy for the region.

  • Oversees regional development of goals, creation and implementation of action plans and program/intervention evaluation.

  • Facilitates collaboration and coordination among the region to develop and facilitate best practice(s) in care management and care coordination. Leads, charters, and participates in region-wide care management teams.

  • Actively collaborates with Utilization Management, Providers, and the delivery system to develop clinical strategies to reduce admissions that do not meet medical necessity; to reduce LOS; to improve transition planning; and to reduce denial rates. Assures that each hospital within the region has an effective Complex Care/Long Length of Stay forum.

  • Oversees all activities related to referral management. Develops collaborative relationships with payers and maintains compliance with payer contracts for utilization management.

  • Facilitates the delivery of safe, high quality care through clinical and non-clinical care management/coordination, ongoing process evaluation, and reviewing clinical outcome metrics.

  • Works with Regional CNO and service area leaders to evolve the organizational model. In collaboration with service are and facility leaders, accountable for both the clinical and the financial management of designated care management areas. This includes the development, implementation and monitoring of annual capital/operating and personnel (FTE) budgets. Provides support and education to department managers for meeting clinical and financial goals. Collaborates with facility CNOs and CEs to develop Case Management budgets that support program goals.

  • Responsible to continuously evaluate and advance the inpatient Clinical Care Management model assuring best use of RN, SW and non-professional staff skill sets; proactive identification of and intervention with patients; continuity of assignments whenever possible and adequate Care Manager and Social Work coverage for all the region's inpatient and Emergency Department settings. Collaborates with leadership in all inpatient and Emergency departments to evolve the CM model to meet patient needs.

  • Develops strategies to leverage region-wide resources to advance professional growth, spread best practices, and provide flexible staffing options. Convene, lead and/or monitor regional work groups as indicated to address opportunities.

  • Identifies and acts upon opportunities to appropriately coordinate services between inpatient, outpatient and community settings. Forms community relationships and works to identify gaps in the continuum of care. Understands and promotes the use of community resources to improve the patient experience. Promotes and maintains positive relations with continuum of care providers.

  • Ensures that all aspects of federal, state, local and The Joint Commission/DNV compliance care management related criteria are met.

  • Measures, analyzes and reports key metrics related to care management across the care continuum. Obtains, utilizes and leverages existing data for improvement of patient flow and other key performance indicators. Facilitates development and distribution of reports.

  • Models and fosters an environment of professionalism and compassionate care. Guides the recruitment, retention, and employee engagement that keeps high performers in place and maintains focus on succession planning. Acts as a role model through the demonstration of personal professional development, continuous learning and competency improvement.

  • Partners with Physician Enterprise and Clinical Services operations to become more efficient and effective in achieving total cost of care objectives, in alignment with clinical quality and access objectives.

  • Serves as liaison for statewide care management-focused initiatives and for project related activity within Swedish and within the region.

  • Provides on-going communication to key stakeholders to ensure the required support is provided for initiatives to be successful and issues identified have been addressed.

  • Influence information technology solutions at Regional and System level to support cross-continuum care management and coordination (i.e., Epic functionality, Emergency Department Information Exchange system).

Qualifications:

IDEAL QUALIFICATIONS

Required experience/education for this position include:

  • Bachelor's degree in Nursing AND Master's degree in Nursing or Business Administration.

  • 10 or more years of experience in acute care case management experience required, preferably at a tertiary care center and/or health system.

  • Experience in progressively responsible roles with demonstrated leadership experience and strong team management skills.

  • Experience working with physicians.

  • Current license to practice as a Registered Nurse in the State of Washington.

Preferred experience/education for this position include:

  • Case Management certification

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://swedish.jobs/why-swedish/#benefits-rewards

Our Mission

Our Mission is to improve the health and well-being of each person we serve.

Our Vision is Health for a Better World.

About Us

Swedish is the largest not-for-profit health care system in the greater Seattle area. It is comprised of five hospital campuses (First Hill, Cherry Hill, Ballard, Edmonds and Issaquah); emergency rooms and specialty center in Redmond (East King County) and the Mill Creek area in Everett; and Swedish Medical Group, a network of more than 128 primary care and specialty care locations throughout the greater Puget Sound area. Swedish employs nearly 13,000 caregivers (all employees), including nearly 1,400 providers. Whether through physician clinics, education, research and innovation or other outreach, we're committed to caring for the people in our region and beyond. Swedish is proud to be an Equal Opportunity Employer Swedish does not discriminate on the basis of race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Leadership

Location: Washington-Seattle

Work Locations: Metropolitan Park East (WA152) 1730 Minor Avenue Metropolitan East Tower Seattle, 98101

Req ID: 352491

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