Job ID: 21-17221 Type: Regular Full-Time Good Samaritan Medical Ctr campus
You embody the legacy mission of making life better for others. Through your expertise and compassion, you guide the care management team, ensuring the highest level of care for acute and chronic patients. Your vision creates an ideal atmosphere in which care team members thrive and patients receive the respect and attention they deserve.
Legacy Good Samaritan Medical Center in Northwest Portland is known for its specialty programs and clinical excellence. Legacy Good Samaritan features nationallyrenowned doctors in cancer care, kidney transplantations, neurology, ophthalmology, weight-loss surgery, robotic surgery, rehabilitation and more, plus Oregon’s only 24-hour urgent care that’s located alongside an emergency room, with access to emergency care ifneeded.
Supports Legacy’s mission, vision, and values. Creates and/or supports an inspiring department vision. Develops and implements business strategies. Sets specific and realistic objectives and tactics. Knows team strengths, weaknesses, and opportunities for improvement.
Manages Legacy’s resources, including productivity and staffing, equipment and supplies, and budgets.
Develops and uses a network of relationships within the organization and the community to achieve system goals.
Collects, analyzes, evaluates and presents clinical management and operations data to a wide range of audiences.
Serves as a resource to all stakeholders regarding regulatory issues.
Guides staff in patient/family discussion of health care goals and decisions with attention to cultural and health literacy implications.
Reviews managed care contracts to ensure that terms and incentives are achievable and reflective of sound Care Management practices/utilization management.
Develops and implements mechanisms for staff development.
Participates in preparation of site department budget.
Monitors, verifies and reconciles expenditures of budgeted funds identifying cost savings opportunities within operations.
Develops and implements mechanisms for review of high risk/high cost cases.
Incorporates population and chronic disease management strategies in care planning.
Participates on assigned site and system medical staff committees.
Confronts challenges and problems with an open mind. Uses evidence-based and data-driven approaches. Considers multiple perspectives, probable consequences, and relevant stakeholders. Obtains stakeholder buy-in.
Demonstrates sound fiscal stewardship. Understands and applies financial management principles.
Facilitates continuous quality improvement by employing Lean principles and analyzing quality indicators, such as clinical outcomes, patient safety measures, and customer satisfaction data.
Engages staff in quality improvement efforts.
Develops comprehensive quality improvement plans. Implements improvements and evaluate success.
Leads change, promotes systemness and champions new system initiatives and improvements.
Leverages resources and partnerships.
Utilizes systems thinking in networking, negotiating and building cooperative relationships with others across the system and surrounding communities.
Builds and maintains motivated and committed teams.
Communicates clearly, respectfully and professionally.
For employees hired into this job on/after May 1, 2014, master’s degree or higher is required; one academic degree (i.e., bachelor’s or master’s) must be in nursing. Exceptions to the master’s requirement may be made for candidates who demonstrate that they are enrolled in an accredited master’s level program. Candidates must either be scheduled to commence this program within 6 months of hire or have already begun and be making meaningful progress toward completion of the master’s degree. Demonstrated evidence of course completion will be required at the end of each term and will be tracked by the individual’s manager. Exceptions to the BSN requirement may be made for candidates with an associate’s degree attending a direct entry master’s programs in nursing, and are within one year of graduation; it is understood that they are at the BSN level once they are within a year of graduation, thereby meeting the BSN requirement.For current incumbents in this job as of May 1, 2014, bachelor’s degree in nursing or social work or related field required or equivalent experience.
Minimum of four years of clinical experience required. One of the 4 years of clinical experience must be related to Case Management including: previous payor experience, utilization management, ambulatory care coordination, and/or community/transitions planning experience. Progressive leadership experience required with demonstrated results. Basic knowledge of clinical operations, Lean principles/work flow planning, staffing and scheduling, budget and resource management, data analysis and continuous quality improvement.
Hire on bonus and relocation assistance eligible.
Demonstrated knowledge of six core components of case management:
Healthcare management and delivery
Principles of practice i.e. CMS guidelines, medical necessity criteria
Case Management concepts
Excellent organization, oral and written communication skills for effective interaction with staff and other stakeholders.
Demonstrated coaching and staff development skills.
Proficient statistical analytic skills.
Working knowledge of:
Transition planning across the continuum.
Health care reimbursement
Utilization management processes, including medical necessity and CMS guidelines.
Able to link care management initiatives to organizational strategic goals and objectives.
Health literate oral and written communication skills as well as public speaking proficiency.
Strong and effective conflict resolution skills.
Keyboard skills and ability to navigate electronic systems applicable to job functions.
LEADING AT LEGACY
Demonstrates the ability to act consistently with Legacy’s Values in Action, exemplifies our core organizational values, and exhibits the leadership competencies outlined in Leading at Legacy.