Purpose of Position
The Senior Director is responsible for overall leadership, strategic direction and operational management of the department of Care Management. This role will lead the department to ensure that optimal care management functions are achieved. This includes a primary focus of aligning goals, strategies, and interdependencies of Care Management towards quality patient and family centered care.
The Senior Director is responsible for directing and overseeing an efficient and seamless patient care coordination process amongst the functional area and its respective interaction and coordination with University of Michigan Health System (UMHS) as an institution. Working with other members of UMHS leadership, the Senior Director also drives continuous improvement in operational efficiency, internal processes, and provides guidance and leadership to ensure the defined purpose, principles, and goals of the program are met.
The Chief Nurse Executive and the Chief Medical Officer for the University of Michigan Health System are co-sponsors of the Care Management model.
Works closely with the Senior Physician partner in planning, implementation and evaluation of the program.
Strong engagement with University Hospital/Cardiovascular Center and Mott Triad Leadership.
Collaborates with additional UMHS leaders in the development and execution of the care management program.
Provides administrative supervision to staff, as assigned.
Supports the alignment of UMSN with care management processes, practices for education of students, faculty practice, and research, as appropriate.
In responsibilities of Care Management, this role reports directly to the Chief Nurse Executive (CNE) with a dotted line reporting relationship to the Chief Medical Officer (CMO).
Characteristic Duties and Responsibilities
Leads the change process required to implement the UM Model of Care Management. This includes several role changes, infrastructure changes, plans for new skills acquisition, expanded relationships with community resources, creative alternatives to inpatient admission and improvement in capacity management.
Serves as the central resource for the senior executive team concerning strategies which are patient-centered, efficient, effective, and support appropriate financial reimbursement.
Ensures highly effective operations for department that provides Access, Utilization Review, Care Coordination, Care Management and Clinical Social Work process improvement, and coordination of processes across all functions.
Creates data priorities and establishes dashboards for monitoring outcomes.
Ensures provision of quality services by maintaining appropriate resources staffing resources, staffing levels, competency of staff, and ongoing training and education.
Develops structures and processes that contribute to continuity of care through demonstrated use of the interdisciplinary team approach to patient care. Works collaboratively with internal and external resources and agencies, physicians and all members of the interdisciplinary team in meeting customer needs and organizational goals.
Monitors, evaluates and redesigns institutional and departmental practices and processes to meet or exceed all regulatory and accrediting agency requirements.
Ensures that technology and software systems support workflow with clinical logic, standards of practice and regulatory and accreditation requirements.
Defines departmental financial targets in alignment with those of the institution and ensures the appropriate use of resources.
Serves as a highly visible leader, colleague, and mentor, providing leadership, direction and education.
Actively participates in the performance planning, competency and individual development planning process.
Maintains current knowledge of case management, utilization management, and discharge planning, as specified by federal, state, and private insurance guidelines.
Note: This job opening replaces job # 133448.
Bachelor’s degree in Nursing is required. Master’s degree in Nursing, Hospital Administration, Business, Public Health or related health care field is required.
Current State of Michigan Board of Nursing licensure is required.
Current State of Michigan Board of Nursing licensure.
Certification as an Accredited Case Manager, Certified Case Manager, or Case Management Administrator is preferred.
Minimum of 5 years in leading acute care based care/case management, utilization review, discharge planning or other closely related quality program.
Minimum of 5 years in leading acute care based patient access and bed management department.
Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and or teams, across disciplines.
Excellent communication skills as demonstrated in oral and written forms.
Demonstrated knowledge and skill in data preparation, analysis and presentation.
Extensive knowledge in reimbursement methodology.
Knowledge and application of case management software systems, data organization, EHR and collateral data organizational systems that support core data set for mandatory measures and economics of care management and case management.
Working knowledge of LEAN, Six Sigma, and/or other organizational efficiency/effectiveness theories and methods, as well as, high performance teams “at the bedside” and risk stratification models is desired.
Demonstrated leadership and management skills from front line staff supervision to strategic executive leadership.
Demonstrated ability to think logically and sequentially, understand redesign concepts, and identify opportunities for improvement.
NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
RESUME REQUIRED (for both internal & external applicants):
You must attach a complete and accurate resume to be fully considered for this position.
If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.
Full-time position; FSLA: Exempt
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
The University of Michigan is an equal opportunity/affirmative action employer.