The Director of Care Management is responsible for overseeing day-to-day operations within the Care Management department. Responsible for establishing appropriate staffing levels and work assignments, developing performance criteria for staff, serving as an expert resource on laws, policies and operational procedures, and ensuring that the operations of the Care Management department are consistent with Nyack organizational standards.
• BSN required and Masters degree in nursing or a related field (MBA, etc.) required. • 5years of relevant experience. • Current New York state RN license required. • Experience with care coordination, discharge planning, clinical documentation and Utilization review. • PC proficiency and experience with care management workflow systems. • Knowledge of InterQual and Milliman criteria and patient status change. • Knowledgeable of Joint Commission, federal and state standards/regulations • Considerable knowledge of large-scale health care facilities, policies, and issues. • Considerable knowledge of clinical protocols and practice management requirements in assigned area. • Knowledge of accreditation standards, health care regulations, performance improvement, patient safety and policy formulation. • Ability to form positive, collaborative relationships with members of the executive team, hospital staff, post-acute providers and payers. • Ability to effectively negotiate with internal and external service providers. • Effective organizational, oral and written communication skills, problem solving, program development, computer skills, strong leadership, and team building skills.