AdventHealth University

Director, Care Management

AdventHealth University$89K — $167K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's in Nursing required
  • 5+ years direct care management experience
  • 3+ years care management leadership experience
  • 2+ years frontline nursing experience
  • Registered Nurse (RN) license required
  • Understanding of Care Management best practices and CMS Compliance

Responsibilities

  • Direct daily operations of the care management department, ensuring compliance with CMS and regulatory standards
  • Oversee recruitment and retention strategies for care management leadership
  • Collaborate with hospital leaders to achieve care and organizational goals
  • Identify improvement opportunities and lead technology and workflow initiatives
  • Develop and implement care management policies and strategies across the department

Benefits

  • Opportunity for leadership and professional development
  • Collaborative environment with a diverse team
  • Focus on improving patient outcomes and reducing readmissions
  • Standard weekday schedule with consistent hours
  • Engagement in operational and process improvement initiatives
Full Job Description
Schedule:

Full time

Shift:

Day (United States of America)

Address:

1035 RED BUD RD NE

City:

CALHOUN

State:

Georgia

Postal Code:

30701

Job Description:

Work Schedule: Monday - Friday 8:30am - 5pm

  • Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services while ensuring compliance with CMS and regulatory standards.
  • Oversees recruitment, retention, and staffing strategies to maintain strong care management leadership and team performance.
  • Collaborates with interdisciplinary hospital leaders and executives to achieve organizational and patient care goals.
  • Identifies improvement opportunities and leads operational, technology, and workflow initiatives to improve efficiency, patient outcomes, and reduce readmissions.
  • Develops, implements, and ensures compliance with care management policies, standard work, and operational strategies across the department.


Knowledge, Skills, and Abilities:
  • Understanding of medical necessity for appropriate patient status and level of care
  • Understanding of Care Management best practices
  • Ability to research and reason best practices to support process improvement
  • Strong verbal and electronic communication skills
  • Ability to analyze, evaluate and monitor data in addition to provide action plans
  • Supports positive employee relations and customer experience
  • Understanding of Microsoft Office Products and other appropriate software platforms
  • Understanding of CMS Conditions of Participation for Discharge Planning
  • Understanding of Managed Care and Value Based Programs
  • Ability to work autonomously with self-direction
  • Ability to work as a collaborative partner of a diverse leadership team
  • Ability to lead and sustain change
  • Knowledge of change management principles, methodologies, and tools [Required]

Education:
  • Bachelor's in Nursing [Required]

Work Experience:
  • 5+ direct care management experience [Required]
  • 3+ care management leadership experience [Required]
  • 2+ frontline nursing experience [Required]

Licenses and Certifications:
  • Registered Nurse (RN) [Required]


Pay Range:

$89,916.80 - $167,252.91

About AdventHealth University

AdventHealth University is a private university in Orlando, Florida. It was founded in 1992 and is affiliated with the Seventh-day Adventist Church. The university offers undergraduate and graduate degree programs in various fields including nursing, radiography, and sonography. AdventHealth University is accredited by the Southern Association of Colleges and Schools Commission on Colleges.
Learn more about AdventHealth University
Size
1,000 employees
Industry

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