WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT WE NEED The Director Inpatient Care Management provides overall direction and management of Case Management. This role supports a collaborative and coordinated process with nursing, ancillary departments and physicians to ensure the effective utilization of clinical resources leading to quality, cost-effective patient care across the Healthcare continuum. The Director will supervise, and coordinate employees engaged in these activities to manage the resources and costs of high-risk or high-cost cases, including identifying appropriate cost-effective methods to manage high-risk, high-cost diagnoses and care plans.
WHAT YOU CAN EXPECT
Oversee the day-to-day operations; ensures appropriate delivery of case management, utilization review, and social work services.
Manage the clinical staff responsible for gathering clinical information to assess, expedite care needs, and post-acute transitional needs
Discuss cases with treating physicians and other healthcare professionals to understand plans of care better
Develop and manage one or multiple departmental budgets, including making budget allocations, approving expenditures and ensuring expenses are within budget
Supervise managers, supervisors, and leads within one or multiple departments and manages the performance of individuals through ongoing coaching, feedback and development to motivate, engage and drive a high performing team
Perform the CMS CoP Utilization Review and Discharge Planning
Oversee the Healthcare Financing Administration (HCFA) Quality Management Guidelines
Monitor and document KPI metrics towards goal achievement related to Initial Assessments, Initial LOC reviews and reconciliation, Initial Discharge Assessment completion, and PA review completions
Monitor, document and communicate the out-migration of all patients going to non-PAC partners.
QUALIFICATIONS
Registered Nurse license (RN) - Required
Bachelor’s degree in Nursing -- Required
Master’s -Preferred
10+ years’ experience in hospital case management experience - Required
7 years’ experience as Manager level or above - Required
Our Healing MinistryThroughout our 12 ministries and many medical practices, we offer a number of nationally recognized Centers of Health Care Excellence.For 140 years, Franciscan Alliance has stayed true to our founding mission to care for everyone who comes through our doors. We treat our patients with the best possible care by following the guiding ethical values embodied by our founding congregation, the Sisters of St. Francis of Perpetual Adoration. Always mindful of our Christian stewardship to the Roman Catholic Church, we minister with joy, care and compassion according to the ideals of St. Francis of Assisi and our founder, Mother Maria Theresia Bonzel.Our healthcare system carries forth Christ’s healing ministry and strengthens the Catholic health care mission by:Providing a broad, coordinated continuum of health care services with an emphasis on improving the health of persons and communities.Treating the mind, body and spirit with holistic and comprehensive medical options.Developing creative structures for health care delivery.Being advocates for those in need.Identifying and developing our sisters and laity for Franciscan leadership.
