The Corporate Director Care Management is responsible for developing and implementing workflows, processes and strategies to facilitate the coordination of the company’s care management needs. Provides leadership, direction and support for the efficient and smooth coordination of patients, member and provider needs with needed resources throughout the organization. Achieves quality outcomes, reduces costs, and shapes and interprets the standards required to ensure a high degree of patient, physician and employee and member satisfaction.. The Director will oversee day to day care management programs necessary for BSHSI and GoodHelp ACO to become successful in delivering differentiated population health services.
The position reports jointly to the SVP and Chief Nursing Officer and the Chief Executive Office of GoodHelp ACO. He/She will work very closely with the Corporate Clinical Director of Population Health. They will oversee, in conjunction with the local system Directors of Population Health, the day to day operations of our care management programs.
Guides the development and implementation of short and long-range goals and objectives for system-wide health management programs. Provides leadership and expertise in the development, implementation, oversight, and evaluation of the system’s core health management programs and practices. Incorporates best practices and responds to emerging trends to enhance operations, programs, and/or services. Implements and evaluates strategic programs, develops effective tools to measure performance, analyzes related data, prepares reports, and makes recommendations to senior leadership based on findings
Oversees and/or directs the development and implementation of company-wide care coordination, utilization management, and social work services policies, and procedures in conjunction with related goals and objectives. Ensures compliance with federal and state regulations, as well as established organizational policies and procedures.
Establishes and oversees the development and implementation of case management services short and long-range goals and objectives and determines the optimal progression to obtain these goals. Reviews analyses and reports of various activities to determine department progress toward stated goals and objectives.