Market Director Care Coordinator for Northern CA

CommonSpirit Health • Rancho Cordova, CA • 1w ago

Responsibilities

This role supports the Northern CA Market-Sacramento, SanFrancisco, Santa Cruz and Redwood City

This is a remote position however the incumbent must reside in the Savramento Area.

Job Summary / Purpose

The Market Director of Acute Care Coordination is at the forefront of spearheading the Care Coordination initiatives across multiple markets within the assigned region. This pivotal role ensures the seamless implementation and effectiveness of care coordination processes and standards at multiple facilities within a region. As a key figure in achieving sustainable outcomes the Market Director focuses on aligning models, enhancing processes, and providing targeted education.

The Market Director develops comprehensive plans and drives the implementation to deliver tangible results both at the region and market level and at the facility levels. Collaborating closely with leadership at the region, market, and facilities from CommonSpirit and other critical stakeholders across the regions, markets, and hospitals, the Market Director formulates strategies that are crucial for meeting the organization's objectives.

Essential qualities for this role include a strategic vision, exceptional communication skills, proven motivational abilities, a strong executive presence, and a track record of achieving results and meeting goals.

Essential Key Job Responsibilities

Strategic Leadership and Operational Oversight : Provides robust leadership and accountability for the operational effectiveness of Care Coordination Services within multiple markets in a region. Oversees the centralized functions of Utilization Management Services, including but not limited to medical necessity reviews and denials management. Oversees Clinical Care Coordination functions within the facilities in the multiple assigned markets including but not limited to progression of care, social services, and discharge planning.

Collaborative Strategic Partnerships : Works in close partnership with leadership across multiple levels (system, region, market, and hospital) and disciplines including CNOs, CFOs, CMOs, CNOs, and departments such as Revenue Cycle, Payer Strategy, Community Health, Physician Enterprise Continuing Care, Quality, Performance Improvement, Ethics, and Legal. Serves as a proactive advisor, utilizing data analytics to align goals and enhance operational, clinical, quality, and patient experience outcomes.

Strategic Development and Implementation : Implements robust strategies aimed at improving patient Length of Stay (LOS), decreasing concurrent denials, streamlining patient authorizations, and enhancing care coordination quality of care. This includes strategy development which will improve reimbursements as related to federal, state and commercial programs in partnership with Common Spirit Health Partners.

Education and Training Leadership : Ensures comprehensive training is implemented for all care coordination staff within the assigned markets.

Comprehensive Management of Corporate Case Management Functions : Oversees education, training, technology, and daily operations at each hospital within the assigned markets.

Regulatory Compliance and Accountability : Maintains close familiarity with relevant compliance regulations both internally and externally.

Data-Driven Decision Making : Leverages data analytics to drive informed business decisions, enhancing the strategic impact of care coordination services.

Qualifications

Required Education and Experience:

Master's degree or equivalent education / experiencein nursing or healthcare/business related field.

5+ years experience in Care Coordination Leadership, within a large multi-hospital system

10+ years overall care coordination experience

Current Registered Nurse (R.N.) license.

Overview

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Pay Range

$75.64 - $109.67 /hour

We are an equal opportunity employer.

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