Boston Medical Center (BMC)
Senior Clinical Director, Clinical Care Management
Boston Medical Center (BMC), Boston, Massachusetts, us, 02298
Senior Clinical Director, Clinical Care Management
Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Position Summary Reporting to the Executive Director/ACNO, the Director of Care Management shall oversee the overall operations of Case Management and Social Work functions through oversight of both daily and long term activities at Boston Medical Center. In this capacity, the Director is responsible for developing systems and processes for care management and social work, as well as managing the department’s activities related to discharge planning and clinical quality improvement. The Director evaluates and ensures that hospital resources are used appropriately and effectively. The Director oversees the collection, analysis, and reporting of financial and quality data related to utilization management, quality improvement, and performance improvement. The Director is accountable for achieving established performance targets through actively engaging multiple disciplines and professional staff. The Director must appropriately manage people, relationships, and processes in order to achieve maximized results. The Director ensures that the department achieves its goals and objectives by engaging internal and external stakeholders in care management processes at Boston Medical Center. The Director promotes interdisciplinary collaboration, fosters teamwork, and champions service excellence. Position:
Senior Clinical Director, Clinical Care Management Department:
Case Management Social Work Schedule:
Full Time Essential Responsibilities / Duties Plans, directs, and supervises all aspects of the inpatient level of care programs. Facilitates growth and development of the care management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed. Responsible for approving and managing the day-to-day operational budget. Oversees expense and revenue management, resource (supplies and staff) utilization, and relationship management with payers and network providers. Responsible for departmental personnel functions (e.g. hiring, firing, etc.) in conjunction with the Executive Director/ACNO. Ensures maintenance of staff qualifications, competencies, staffing levels, workloads and productivity, individual personal development of staff, regulatory compliance, continuing education, performance appraisal system. Acts as liaison to facilitate communication and collaboration between all care partners (e.g., physicians, hospitalists, community social workers, nurses, community resources, etc.). Leads a high-performance team of ‘system thinkers’ who incorporate leadership principles and vision in performing the functions of care management. Responsible for the Care Management department of Social Work. Develops and oversees social service programs to provide resources and support patients and families. Uses data to drive decisions, plan, and implement performance improvement strategies for care management. Utilizes patient-focused, continuous improvement techniques to reach key performance targets and resolve/improve processes. Ensures interdepartmental collaboration, customer service, regulatory compliance and monitoring of key systems. Reviews and acts upon key performance indicators related to the strategic imperatives of the entire system. Oversees education of physicians, managers, staff, patients, and families related to the care management process. Identifies future needs of current customers and potential new customers. Develops scope of service and relationships with physicians; collaborates with other disciplines; manages flexible staffing/workload and oversees care coordination and outcomes management duties. Conducts research to ensure departmental practices remain current. Coordinates campus-wide Care Management reporting related to utilization management, social work services, case management, discharge planning, resource coordination, and quality improvement. Builds relationships with internal and external stakeholders to achieve satisfactory customer results. Supports physicians to provide care in the most clinically appropriate setting. Works with physicians as partners to achieve desired results. Educates physicians and office staff in the clinical care management program. Identifies and resolves departmental equipment needs, equipment volume, supplies/accessories, regulatory compliance factors, OSHA, safety, and environment of care. Ensures compliance with hospital standards of performance and patient rights to provide high-quality customer service and patient care. Other Duties Perform other duties as needed. Education JOB REQUIREMENTS Master’s degree required (an equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the above education and experience requirements). Certificates, Licenses, Registrations Required Licensure to practice as a registered nurse in the state of Massachusetts, required. CCM, ACM or related certification preferred Experience A minimum of 5 years clinical experience. Minimum of 10 years of progressive leadership experience in healthcare, with at least 5 years in care management Knowledge, Skills & Abilities (KSA) Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and care management. Ability to understand confidentiality and related legal/ethical issues; understand medical terminology; establish treatment goals and working relationships with referral sources; develop treatment plans. Ability to assess physical/mental impairment; understand illness characteristics; assist in developing short- and long-term health goals; evaluate resources to meet client needs; develop new resources. Understanding of prior authorization requirements by payers; evaluate quality and cost of care; understand health care delivery systems and payer contracts; demonstrate cost savings. Understanding of case management philosophy and principles; apply problem-solving techniques; document care management services; understand liability issues for care management activities. Self-motivated with strong communication skills, assertive. Ability to build credible relationships with physician leadership; collaborate with health care professionals to achieve goals and improve outcomes. Background in business planning and targeted outcomes; knowledge of performance improvement concepts. Proficiency with Microsoft Office; experience with electronic medical records. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps”; job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. Referrals increase your chances of interviewing at Boston Medical Center (BMC) by 2x Get notified about new Clinical Director jobs in
Boston, MA .
#J-18808-Ljbffr
Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Position Summary Reporting to the Executive Director/ACNO, the Director of Care Management shall oversee the overall operations of Case Management and Social Work functions through oversight of both daily and long term activities at Boston Medical Center. In this capacity, the Director is responsible for developing systems and processes for care management and social work, as well as managing the department’s activities related to discharge planning and clinical quality improvement. The Director evaluates and ensures that hospital resources are used appropriately and effectively. The Director oversees the collection, analysis, and reporting of financial and quality data related to utilization management, quality improvement, and performance improvement. The Director is accountable for achieving established performance targets through actively engaging multiple disciplines and professional staff. The Director must appropriately manage people, relationships, and processes in order to achieve maximized results. The Director ensures that the department achieves its goals and objectives by engaging internal and external stakeholders in care management processes at Boston Medical Center. The Director promotes interdisciplinary collaboration, fosters teamwork, and champions service excellence. Position:
Senior Clinical Director, Clinical Care Management Department:
Case Management Social Work Schedule:
Full Time Essential Responsibilities / Duties Plans, directs, and supervises all aspects of the inpatient level of care programs. Facilitates growth and development of the care management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed. Responsible for approving and managing the day-to-day operational budget. Oversees expense and revenue management, resource (supplies and staff) utilization, and relationship management with payers and network providers. Responsible for departmental personnel functions (e.g. hiring, firing, etc.) in conjunction with the Executive Director/ACNO. Ensures maintenance of staff qualifications, competencies, staffing levels, workloads and productivity, individual personal development of staff, regulatory compliance, continuing education, performance appraisal system. Acts as liaison to facilitate communication and collaboration between all care partners (e.g., physicians, hospitalists, community social workers, nurses, community resources, etc.). Leads a high-performance team of ‘system thinkers’ who incorporate leadership principles and vision in performing the functions of care management. Responsible for the Care Management department of Social Work. Develops and oversees social service programs to provide resources and support patients and families. Uses data to drive decisions, plan, and implement performance improvement strategies for care management. Utilizes patient-focused, continuous improvement techniques to reach key performance targets and resolve/improve processes. Ensures interdepartmental collaboration, customer service, regulatory compliance and monitoring of key systems. Reviews and acts upon key performance indicators related to the strategic imperatives of the entire system. Oversees education of physicians, managers, staff, patients, and families related to the care management process. Identifies future needs of current customers and potential new customers. Develops scope of service and relationships with physicians; collaborates with other disciplines; manages flexible staffing/workload and oversees care coordination and outcomes management duties. Conducts research to ensure departmental practices remain current. Coordinates campus-wide Care Management reporting related to utilization management, social work services, case management, discharge planning, resource coordination, and quality improvement. Builds relationships with internal and external stakeholders to achieve satisfactory customer results. Supports physicians to provide care in the most clinically appropriate setting. Works with physicians as partners to achieve desired results. Educates physicians and office staff in the clinical care management program. Identifies and resolves departmental equipment needs, equipment volume, supplies/accessories, regulatory compliance factors, OSHA, safety, and environment of care. Ensures compliance with hospital standards of performance and patient rights to provide high-quality customer service and patient care. Other Duties Perform other duties as needed. Education JOB REQUIREMENTS Master’s degree required (an equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the above education and experience requirements). Certificates, Licenses, Registrations Required Licensure to practice as a registered nurse in the state of Massachusetts, required. CCM, ACM or related certification preferred Experience A minimum of 5 years clinical experience. Minimum of 10 years of progressive leadership experience in healthcare, with at least 5 years in care management Knowledge, Skills & Abilities (KSA) Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and care management. Ability to understand confidentiality and related legal/ethical issues; understand medical terminology; establish treatment goals and working relationships with referral sources; develop treatment plans. Ability to assess physical/mental impairment; understand illness characteristics; assist in developing short- and long-term health goals; evaluate resources to meet client needs; develop new resources. Understanding of prior authorization requirements by payers; evaluate quality and cost of care; understand health care delivery systems and payer contracts; demonstrate cost savings. Understanding of case management philosophy and principles; apply problem-solving techniques; document care management services; understand liability issues for care management activities. Self-motivated with strong communication skills, assertive. Ability to build credible relationships with physician leadership; collaborate with health care professionals to achieve goals and improve outcomes. Background in business planning and targeted outcomes; knowledge of performance improvement concepts. Proficiency with Microsoft Office; experience with electronic medical records. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps”; job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. Referrals increase your chances of interviewing at Boston Medical Center (BMC) by 2x Get notified about new Clinical Director jobs in
Boston, MA .
#J-18808-Ljbffr