Baystate Care Management is a highly respected department that coordinates care across Baystate Health system, which includes three community hospitals and a level 1 trauma, tertiary care medical center with over 700-licensed beds.
As a top hospital for technology and electronic medical records, we are also at the forefront of evidence based practice, utilizing a triad team-based model. Our team of educators, social workers, appeals and denials specialists, nurses and utilization managers collaborate to deliver exceptional care that produce results in improved patient flow, quality of care, patient satisfaction, and economic viability.
Reporting to the COO of Baystate Health, the Senior Director of Care Management is responsible for the oversight and direction of all clinical, business, safety, quality and regulatory dimensions relevant to the Inpatient Care Management, Social Work and Patient Placement departments. The incumbent has oversight for all clinical and operational aspects of the BH inpatient care management functions which includes; Baystate Medical Center, Baystate Wing, Baystate Noble and Baystate Franklin Medical Center as well as for the Baystate Health Patient Transfer Center. The Senior Director will translate the BH organization wide goals into short, mid and long term action plans for the inpatient care management, social work and patient placement departments. The incumbent will also lead initiatives as applicable related to performance improvement and quality related initiatives. This leader will partner with key service line and physician leaders and post-acute care partners across the continuum to develop efficient systems of access to the care delivery system that produce results in improved patient flow, quality of care, patient satisfaction, and economic viability.
The Senior Director defines and executes the Care Management, Social Work & Patient Placement operational plan, including roles, responsibilities, effective partnerships and deliverables to achieve measurable clinical, quality and financial outcomes. Reporting directly to the incumbent are; Manager of Inpatient Care Management, Manager of Patient Placement and Manager of Social Work.
Department Size and Scope
50 RN Care Managers & RN Utilization Managers
17 Social Workers
13 Patient Placement Nurses
5 Centralized Appeals and Denials RN Specialist
BSN required, Master’s degree strongly preferred
5-7 years progressive leadership experience in a tertiary facility with experience managing an acute care management department
ACM or CCM strongly preferred
Extensive knowledge of government regulations, payer reimbursement, practice standards, utilization requirements, relevant community services, population health & transitions of population health
Knowledge of and experience in contemporary models of care management, bed management and patient throughput
Ability to influence and lead change.
Demonstrated leadership skill in developing and implementing a comprehensive care management program in a large complex organization with measurable impact on quality of care and financial performance. Demonstrated success in building and developing an integrated social work and case management team with effective partnerships across the continuum of care
Ability to work with multiple programs; knowledge of Interqual, MIDAS and Cerner a plus
The role of a leader at Baystate Health is, first and foremost, to act as a dynamic steward of the organization and to engage people in a way that all voices are included and brings forth the very best from everyone. As a leader, the organization is committed to your growth and development.
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
Baystate Health is an integrated health care delivery system serving a population of more than eight hundred thousand people in western Massachusetts. It is one of the largest health systems in New England with over 12,000 employees, five hospitals and over 100 medical practices. Baystate Health is the home of the University of Massachusetts Medical School-Baystate, the only regional campus of the... Commonwealth’s public medical school. Baystate Medical Center is the only Level 1 Trauma Center in the region and has the only pediatric and Level III Neonatal Intensive Care Unit.
What will you receive working at Baystate Health?
When you are part of Baystate Health you can expect a diverse, vibrant work environment in which you can learn, grow and reach your full potential. Work with a team that values your expertise and strengths and expects you to contribute. Your compassionate colleagues are driven to improve process and impact every patient experience, no matter their role. And, you will be working in an organization with a daily commitment to patients and their families to raise national standards of excellence.