Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Regional Director of Care Management is responsible for strategizing with other leaders and physicians within the Hackensack Meridian University Health Network to improve the efficacy, efficiency and effectiveness of health care delivered to patients within their assigned region of the Hackensack Meridian Health Network.

This role is primarily based out of Edison, NJ. This position oversees our case management teams across the Hackensack Meridian Network. Travel across sites, typically 2-3 days per week, is expected.

Responsibilities

A day in the life of a Regional Director of Care Management at Hackensack Meridian Health includes:

• Provides oversight and leadership to their regional Hospital Care Management teams.

• Directs Care Management activities related to patient throughput within and out of the regional medical centers and health network.

• Manages and/or assists in the recruitment, development and supervision of team members.

• Continually reviews technology, assesses needs and makes recommendations for program development.

• Meets with physician leaders in development of processes and protocols to prevent denials and improve transition of care for service line management of patients.

• Coordinates and directs the development and implementation of annual operating and capital budgets related to areas of responsibility.

• Introduces innovative ideas for case management and gains consensus across the continuum of care with ability to carry out proposed implementation plans.

• Responsible for oversight of the care coordination, social work and utilization review department's processes in accordance with federal, state, and local standards, guidelines and regulations with in their region.

• Supports the individual hospital and regional initiatives for improvement in patient satisfaction scores and patient outcomes.

• In collaboration with other leaders, makes recommendations for educational programs to enhance understanding and cooperation in transitions of care.

• Strategizes with site Managers to assist with meeting patient discharge planning needs, psychosocial needs, insurance reviews constraints and patient status assignment.

• Collaborates with the Director of the ACO and Specialty areas to enhance communication and coordination of bundle and ACO patients to ensure quality and finical targets are met.

• Makes recommendations for improvements in system management of information relative to Care Coordination, Social Work and Utilization Review. Able to interpret and provide meaningful data related to Case Management activities.

• Assures site leaders are knowledgeable and compliant with all applicable laws and regulations for assigned areas within the region and remains up-to-date with the most recent changes that affect local practice.

• Works with the local capacity leadership and the transfer center to assist in activities related to patient throughput within and out of the medical center and health network.

• Partners and maintains relationships with post-acute and community agencies to improve transitions across the continuum and address social determents of health for their population.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Master's Degree in Nursing, healthcare administration, social work business administration or related field.

• Minimum of 7 years of management experience.

• Knowledge of healthcare principles.

• In-depth, working knowledge of state and national regulatory guidelines.

• Strong leadership, financial management and strategic planning skills.

• Strong written and verbal communication.

• Knowledge of information technology and management of information systems.

• Ability to oversee activities in a large integrated department.

• Comfortable with technology, in the Microsoft office suite of products including Outlook, Word, Excel and Power Point.

• Knowledge and understanding of the revenue cycle.

• Highly accountable, self-starter; strong sense of urgency; can work autonomously with limited direction.

• Balances strategic ability with an affinity for operations; not afraid to dig into the details of the work to influence a positive outcome.

• Experience with quality improvement methodology, practice and execution.

• Strong persuasion and presentation skills; the ability to lead multi-disciplinary groups to action and desired outcomes.

Licenses and Certifications Preferred:

• Case Manager Certified.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Job ID 2024-155266

Department Corp Care Management

Site HMH Hospitals Corporation

Job Location US-NJ-Edison

Position Type Full Time with Benefits

Standard Hours Per Week 40

Shift Day

Shift Hours Day

Weekend Work No Weekends Required

On Call Work No On-Call Required

Holiday Work No Holidays Required