St. Luke's University Health Network
Location
Bethlehem, PA | United States
Job description
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Director is responsible for establishing, implementing and maintaining the components of the Care Management process that are focused on the achievement of satisfactory patient outcomes.JOB DUTIES AND RESPONSIBILITIES:
Care Management
Assures services provided are consistent with the requirements of regulatory agencies and under the Conditions of Participation. Responsible for the implementation of regulatory standards as they relate to Care Management and the continuum of care/discharge planning.
Provides direct clinical and administrative direction to the Inpatient Care Management staff with assigned regional hospitals.
Provides educational training for Care Management personnel, clinical staff, and ancillary departments.
Responsible to oversee compliance and quality audits of direct care manager reports to support evaluation and adherence to workflow process, appropriate and accurate use of software, documentation, and training needs.
Provides Care Management leadership, and representation at designated service line Performance Improvement meetings, community organizations and external services for the assigned hospitals.
Monitors data including variance analysis, aggregate trend analysis and recommendations for changes in practice. Responsible for reporting to and participation in the Network Utilization Management Committee representing assigned regional hospitals.
Additional Essential Functions
Collaborates with HR and other hiring partners to maintain an appropriate staffing complement that will ensure positive productivity outcomes.
Conducts yearly performance evaluations of staff and assesses monthly audit findings in order to provide feedback and content toward performance improvement plans.
Develops monitors and maintains mechanisms to assure that the complex needs of patients and families are systemically identified, assessed and managed within appropriate time frames with optimum patient outcomes.
Maintains confidentiality of all materials handled within the Network/Entity as well as the proper release of information.
Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements.
Demonstrates/models the Network’s Service Excellence Standards of Performance in interactions with all customers (internal and external).
Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.
Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.
Complies with Network and departmental policies regarding attendance and dress code.
Demonstrates competency in the assessment, range of treatment, knowledge of growth and development and communication appropriate to the age of the patient treated.
OTHER FUNCTIONS:
Actively seeks opportunities for professional growth and development.
Participates in and/or lead committees.
Other related duties as assigned.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for one to two hours at a time. Standing for up to 2 hours per day, up to 10 minutes at a time. Walk on all surfaces for up to 3 hours per day, and climb stairs. Must be capable of driving a car. Fingering and handling objects frequently, uses fingers to turn pages. Frequently uses hands to write and/or type. Rarely uses hands or fingers for firm grasping or twisting/turning. Frequently uses upper extremities to life and carry object up to 10 lbs. Rarely may be required to lift, carry, push, and/or pull objects weighing up to 75 pounds. Occasionally stoops, bends, squats, kneels and reaches above shoulder level. Must have the ability to hear as it relates to normal conversations and high and low frequencies and to see as it relates to general and peripheral vision. Must have the ability to touch as related to telephone and computer keyboard.
POTENTIAL ON-THE-JOB RISKS:
Identified Risks , None Identified and/or Fit Tested Statement Which States That:
Employees who work in patient care areas where they may have potential exposure to patients with suspected or proven tuberculosis (TB) must have the ability to wear a particulate respirator and be fit-tested in compliance with the current recommendations from the CDC (enforced by OSHA) or must provide physician documentation as to the inability to wear a particulate respirator. Biological risks. Follow OSHA guidelines/precautions for exposure to biological hazards.
SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE:
Protective gowns, masks and gloves are available.
MOST COMPLEX DUTY:
Manages the functioning of the Care Management process.
SUPERVISION (RECEIVED BY):
Receives supervision from the Vice President, Care Management.
COMMUNICATIONS:
Excellent oral and written communication skills required. Basic computer skills recommended. Ability to develop strong collaborative relationships with hospital staff, providers, payers and community and governmental agencies.
ADDITIONAL REQUIREMENTS:
The ability to collaborate with and motivate clinicians and cross-functional partners around key clinical initiatives and drive for results and effective execution;
The ability to credibly interface with senior executives, including the ability to communicate with non-management stakeholders effectively;
Strong problem solving skills with the demonstrated ability to identify, research and make decisions based on the day-to-day and complex customer problems.
MINIMUM QUALIFICATIONS
EDUCATION:
BSN or MSW required. If RN, must maintain RN licensure in Pennsylvania. If RN, MSN preferred.
TRAINING AND EXPERIENCE:
5 years of Care Management experience in an acute care hospital setting, care management program or value-based care management model. Leadership experience strongly preferred. Strong critical thinking skills. Ability to maintain collaborative and effective working relationships.
WORK SCHEDULE: Day shift with varying hours based on the needs of the department. Will travel between multiple hospitals and meeting sites to support leadership of assigned campuses.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
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