Director of Medical Management

Company: CareNational Healthcare Services
Location: Renton
Posted on: February 23, 2021

Job Description:

Director of Medical Management - Inpatient/Outpatient
Renton, WAJob Summary:
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Responsible for the work flows, procedures, and clinical tools used for integrated health medical management operations including utilization management, complex case management, disease management, and wellness activities. Leads the ongoing management and operations of these processes and will collaborate with the Chief Medical Officer as needed in functions that pertain to these activities.
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Position Description:
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• Develop, lead, coach and support a management structure that enables the achievement of business objectives, including optimal utilization of human and financial resources. Foster a work environment that supports teamwork, open communication and engagement. Establish and communicate standards of performance, provide timely performance feedback and assure accountability to the established expectations. Sponsor/lead change and improvement initiatives.
• Lead and direct the Care Management operations of assigned Partner Hospitals. Collaborate with service line leaders for specialty services, primary care, urgent care, pharmacy, laboratory, behavioral health, ancillary service and business operations to assure that all services within the Partner Hospitals are aligned with the needs of our patients. Assure that the medical center provides quality care, access, and service within available budgeted funds and in a way that results in a consistently superior customer experience. Resolve system issues within and across services.
• Participate in the development of strategic plans. Lead the implementation of strategic plans, annual goals, work plans, policies and budgets services. Communicate and model the vision of the organization, division/subdivision, and/or district. Establish and communicate program direction. Link budget decisions and resource allocations to strategic initiatives.Background Profile:
  • BSN or MSW with WA current unrestricted state license as Registered Nurse or Social Worker.
  • Master's degree in health care, business, or social work required.
  • 5+ years' clinical experience in a high acuity setting.
  • 6+ years' experience in Case Management, Utilization Management, or other operations for a Managed Care Organization (Health Plan, IPA, HMO, TPA, etc).
  • 7+ years previous management and supervisory experience, in roles of increasing responsibility, which included hiring and supervising nurses.
  • Strong computer proficiency (MS Office and Healthcare IT Systems) and typing skills are necessary.
  • Able to transform assignments from high-level objectives into independently established detailed goals.
  • Knowledge of utilization management, quality improvement, discharge planning, and cost management.
  • Possess planning, organizing, conflict resolution, negotiating and interpersonal skills.
  • Travel within the State of Washington, approximate 10%.
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    #CARE1

Keywords: CareNational Healthcare Services, Renton , Director of Medical Management, Executive , Renton, Washington