St. Luke's University Health Network

Director, Inpatient Care Management: Anderson, Monroe and Warren Hospitals (East CM Region)

Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Nursing (BSN) or Master's in Social Work (MSW) required.
  • Current RN licensure in Pennsylvania required for nursing candidates.
  • Preferred: Master's in Nursing (MSN) for nursing candidates.
  • 5-7 years of experience in Care Management or similar roles.
  • Experience with regulatory standards in healthcare adherence.

Responsibilities

  • Ensure compliance with regulatory agency requirements in Care Management processes.
  • Lead and manage the inpatient Care Management staff across assigned hospitals.
  • Develop and provide training programs for Care Management and clinical staff.
  • Oversee audits of Care Management practices and compliance with workflows.
  • Represent Care Management in performance improvement meetings and community organizations.
  • Monitor and analyze data for care practices and report findings to the Utilization Management Committee.

Benefits

  • Comprehensive training and ongoing professional development.
  • Opportunities for leadership in community and healthcare organizations.
  • Involvement in performance improvement initiatives.
  • Collaboration with a multidisciplinary team.
  • Opportunities to influence patient outcomes in regional hospitals.
Full Job Description
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:
  • 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.


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.

EDUCATION:

BSN or MSW required. If RN, must maintain RN licensure in Pennsylvania. If RN, MSN preferred.

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!!

About St. Luke's University Health Network

St. Luke's University Health Network is a non-profit healthcare system that provides medical services to patients in eastern Pennsylvania and western New Jersey. The network operates several hospitals, urgent care centers, and primary care clinics, as well as specialty centers for cancer, heart and vascular care, and orthopedics. St. Luke's University Health Network was founded in 1872 and is headquartered in Bethlehem, Pennsylvania.
Learn more about St. Luke's University Health Network
Size
16,000 employees
Industry
Net Income
$100 million
5 Year Trend
+10%
Revenue
$2.5 billion

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