Overview

CHI Mercy Health offers the unique opportunity to grow professionally in a supportive highly rewarding work environment and to satisfy your soul in the surroundings of a breathtakingly beautiful natural setting. More than 100 years after the founding of our organization the core values - Compassion Inclusion Integrity Excellence and Collaboration - that guide our interactions with our patients and each other remain the same. In the welcoming embrace of these nurturing communities you will feel immediately at home.

Roseburg is located on Interstate 5 in Southern Oregon's scenic Douglas County. The community is nestled in a lush forested region known as the 100 Valleys of the Umpqua. In many places you’ll find it hard to maintain a healthy work-life/personal-life balance because the pace of one is indistinguishable from the other. Not here. Life never stops here but it slows to an easy welcome pace. A traffic jam means you missed the yellow and have to wait for the next green. A terrible parking space is the one across from the restaurant instead of in front of it. And the three words you may never hear are “Wow that’s expensive.” Easy is the best way to describe life here. Hard-to-beat works too.

Click here to view the ANTI-RETALIATION NOTICE / Oregon Nurse Staffing Law: SB 469 (https://docs.google.com/document/d/1D7uxPt-tJeFPRJciXRaDiUdg8xkvjGbGP00FgpOHwok/edit)

Responsibilities

As the Director of Care Management you are responsible for the implementation, evaluation and direction of Care Coordination in support of the CommonSpirit Health Care Coordination model. The leader has oversight of clinical resource management, progression of care, discharge planning activities, patient advocacy and clinical social work. In collaboration with the National Market Director Care Coordination, the CC Director develops strategies to achieve departmental and CommonSpirit Health goals and objectives.

Essential Duties:

• Provides strong leadership and direction to the care coordination department, including staff supervision, team building, and performance management.

• Develops, implements, and evaluates care coordination programs and strategies to optimize patient care, resource utilization, and quality outcomes that align with system-wide Care Coordination.

• Ensures that the care coordination department adheres to all relevant healthcare regulations, accreditation standards, and organizational policies.

• Oversees the daily operations of care coordination, including staff supervision, budget management, and resource allocation in alignment with organizational goals.

• Leads improvement groups and collaborates with healthcare providers, insurance companies, and other internal and external stakeholders to coordinate patient care and facilitate communication across the care continuum.

• Monitors and analyzes data related to care coordination activities, patient outcomes, and resource utilization to drive decision-making and improvements.

• Trains and evaluates care coordination staff to ensure they are aware of and implementing system initiatives, possess the skills and knowledge necessary for effective performance and completion of required education.

• Advocates for patients' needs and rights, ensuring they receive appropriate care and support throughout their healthcare journey.

• Maintains effective communication with system, regional, market and care facility leadership, clinical staff, and external stakeholders to facilitate efficient care coordination operations.

• Drives and engages multidisciplinary teams and committees to address complex patient care issues and develop integrated plans of care.

• Ensures and monitors the established goals and key performance indicators (KPIs) to drive continuous improvement.

• Collaborates with Utilization Management Hub leaders on trends and opportunities, ensuring action plans are developed to address identified gaps.

• Directs recruitment, performance management, coaching, mentoring, training and development of care coordination staff and leaders.

Shift: Monday - Friday 8am - 5pm

Qualifications

License/Certification:

• Oregon RN license OR LCSW

• National certification in CCM (Certified Case Manager) or ACM (Accredited Case Manager) within 2 years of hire

Experience:

• 4 years clinical care coordination experience (Utilization Management, Denial Management, Care Coordination) OR 5 years progressively responsible management experience

• Extensive operational experience, program planning, implementation, staff development, and needs assessment in healthcare environment

• Comprehensive knowledge of care coordination and discharge planning

• Experience with data analytics related to include cost containment, over/under utilization assessment and clinical outcomes preferred

Education:

• Bachelor’s Degree in Nursing OR Master’s Degree in Social Work OR equivalent education and experience

• Master's Degree in Nursing, Health Care Administration or related clinical field preferred

Pay Range

$49.08 - $71.16 /hour

We are an equal opportunity/affirmative action employer.