The Director of Care Coordination is responsible for the planning, operations, and management of the Care Coordination department. In this role, the Director has overall responsibility for the continuum of care services provided by the hospital. The Director supervises a staff of RN Case Managers, Discharge Planners, Medical Social Workers, and other support staff. The Director will be expected to work collaboratively with the organization's leadership, nursing directors, physicians, and Quality Management department. In this role, the Director will actively participate in all organization-wide initiatives including but not limited to patient satisfaction initiatives, organizational programs, accreditation and other reviews, and the development of all applicable policies and procedures. The Director is also responsible for the efficient utilization of resources within the department while promoting collaboration, quality care and customer service excellence.
Department Specific Skills: Care Coordination
Excellent knowledge and experience in Utilization and Case Management
Supports and participates in Quality Management to assess performance improvement, and to address priorities for improved quality of care and safety, including supporting the use of corrective and preventative actions.
Participates in the establishment and maintenance of effective working relationships with community service organizations and public agencies to insure the Case Managers and other applicable department staff members offer appropriate resources to patients and families.
Ensures department knowledge of compliance with all applicable local, state, and federal policies, laws and regulations pertinent to care coordination, utilization management, discharge planning and provision of social services, including but not limited to The Joint Commission, CMS, State of Florida, and AHCA.
Responsible for implementation and compliance of the Hospital utilization management program. Reviews utilization patterns, identifies and reports trends. Develops strategies to effectively optimize the hospital's resources.
Reports and participates in All Hospital wide committees; such as Utilization Management, Transitions of care, Revenue Cycle, Patient Safety, Readmissions, HCHAPs and Value based Initiatives with the Hospital Quality Committees and others as needed
Coordinates Post-acute provider communications for seamless hand off of patients including integration with the hospital's Boca Raton Home Health Agency
Plan, organize and direct the provision of services within the assigned department(s) to assure compliance with the organization's policies and procedures as well as Joint Commission Accreditation and appropriate regulatory agencies.
Directs process of interviewing, hiring and assuring evaluation and competency of all personnel for areas of responsibility.
Demonstrates efficient organizational and time management skills through consistent patterns of work behavior and positive representation.
Helps provide educational development of staff in all aspects of Care Coordination, Utilization Management and Fiscal Responsibility (Reimbursement Methodologies).
Provide leadership and guidance in the development, implementation, and evaluation of all Case management services in the department inclusive to providing education for all staff pursuant to federal and state regulations
Provide overall planning, control, organization, and monitoring of services and the employees within these areas.
Plan, organize and direct the provision of services within the assigned department(s) to assure compliance with the organization's policies and procedures as well as The Joint Commission and appropriate regulatory agencies.
Responsible for operational excellence of all assigned activities to ensure the cost-effectiveness and efficient delivery of quality services and/or outcomes required to meet the expectations of those utilizing or impacted by the department.
Develop and implement a plan for an effective, interdisciplinary and ongoing program for quality assessment and performance improvement in the areas of responsibility.
Pursue, in a creative manner, continuous quality improvements, which increase customer satisfaction and organizational financial performance.
Adapt procedures and utilize available resources to maintain quality services and to meet changing requirements.
Follow all facility, organization and department precaution s and procedures in the performance of all job duties to ensure a safe work environment for self and others.
Assist Administration in analyzing, monitoring and controlling the budgets and operation of assigned areas to ensure cost effective and efficient delivery of quality patient care.
Develop, implement, and manage the departmental budgets. Direct and analyze staffing schedules to ensure that they are consistent with budgetary constraints and meet the department standards and guidelines.
Communicate with Administration in a timely and routine manner on issues, potential problems, activities, and projects.
Participate in the development of hospital-wide programs, policies, and procedures.
Attend assigned and required hospital and organizational supported meetings.
Support an environment that promotes departmental and organizational objectives by providing cooperative, courteous and professional service to all customers.
Achieve high visibility and availability to employees, patients and families, physicians, and Administration to promote early identification and resolution of problems.
Operate as a team with co-workers by approaching relationships in a positive manner.
Respect confidentiality of patient, staff and privileged hospital information.
Expected to serve as a role model in the participation and support of the Hospital Mission, Vision and Values.
Five Years of progressive Case management leadership management experience
Five to ten years of Care Coordination/Case Management experience
ACM/CCM certification preferred
Florida Registered Nurse License in good standing
Knowledge of case management principles, care transitions, readmission healthcare management, utilization review , regulatory compliance and reimbursement such as Value Based purchasing
Excellent critical-thinking, problem-solving and analytical skills
Ability to lead and motivate others
Strong self-initiative and interpersonal communication skills
About Boca Raton Regional Hospital
About Boca Raton Regional Hospital – Advancing the boundaries of medicine.
Boca Raton Regional Hospital is an advanced, tertiary medical center (BRRH.com) with 400 beds and more than 800 primary and specialty physicians on staff. The Hospital is a recognized leader in Cardiovascular Care, Oncology, Women’s Health, Orthopedics, Emergency Medicine and the Neurosciences, all of which offer state-of-the-art diagnostic and imaging capabilities. The Hospital is a designated Comprehensive Stroke Center by the Florida Agency for Health Care Administration (AHCA).
Boca Raton Regional Hospital was recognized in U.S. News & World Report’s 2017 - 2018 Best Hospitals listing as a Top Ranked Regional Hospital in the South Florida metropolitan area and the highest ranked hospital in Palm Beach County. For the second year in a row, Boca Regional earned the 2016/2017 Consumer Choice Award by National Research Corporation (NRC). Boca Regional was the only hospital in Palm Beach County to earn such a distinction. Boca Raton Regional Hospital was also the recipient of the 2014 Distinguished Hospital Award for Clinical Excellence™ for 10 years running and was named one of America’s 50 Best Hospitals in 2011, 2012, 2013 and 2014, both by Healthgrades®.