Job description
Hours of Work :
40
Days Of Week :
M-F
Work Shift :
8X5 Day (United States of America)
Job Description :
Age Specific Care Considerations
This job description is rated the following level for age specific, patient care education and training:
Category A – Employees not directly impacting patient care
Category B – Employees with patient care impact
This job description routinely serves the following patient age groups:
Birth - 18 months
18+ months – 3 years
3+ years – 5 years
5+ years – 12 years
12+ years – 18 years
18+ years – 35 years
35+ years – 65 years
65+ years
I. Position Summary:
This position has strategic and operational oversight of Hospital Based Case Management. It is designed to provide seamless transitions across the continuum of care for MHS patients. This role requires a highly collaborative, interdisciplinary approach to patient centered care coordination focused on safe, reliable, and timely patient discharge. The position will report directly to the SVP of Revenue Cycle.
II. Accountabilities and Essential Job Functions:
- Oversees compliance with regulatory agency requirements within Care Transition departments which includes discharge planning, care coordination, and social work,.
- Empowers the coordination of clinical care management activities, transitional planning and denial management by setting organizationally aligned strategic objectives and goals.
- Works closely with care management directors to achieve high employee engagement and patient experience while remaining fiscally responsible.
- Works closely with hospital administration, physician groups, and clinical leaders to manage length of stay, utilization of services, denials, and readmissions.
- Participates in hospital/system initiatives to formulate and implement process improvements which mitigate lower length of stay and reduce readmissions.
- Ensures department meets monthly budget and provides information to the SVP Revenue Cycle as needed for variance analysis.
- Provides direct supervision for Case Management leaders including evaluation, performance, hiring, education, and training.
- Works closely with hospital staff to identify opportunities for improvement, facilitates processes/procedure changes, and provides oversight for action plans and follow up.
- Assume a lead role for innovation, knowledge sharing and leading practice identification within MHS and among peer groups for state and grant funded project activities.
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
- Other duties as assigned
III. Education Required:
- Bachelor’s Degree in nursing or Social Work required
- Master’s Degree in health care field required
- Accredited Case Management (ACM) and/or case management certification (CMC/CCM) preferred
IV. Experience Required:
- Minimum of five years clinical experience preferred
- Minimum of five years health care management experience required
V. Knowledge, Skills, Abilities:
- Organization - proactively prioritizes needs and effectively manages resources
- Communication - communicates clearly and concisely
- Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
- Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
- Tactical execution - oversees the development, deployment and direction of complex programs and processes
- Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems
- PC skills - demonstrates proficiency in Microsoft Office applications and others as required
- Financial management - applies tools and processes to successfully manage accounts receivable to budget
- Project Management - assesses work activities and allocates resources appropriately
- Start-Up Operations - understands complexities and needs to start-up, build and maintain a new business
The preceding is intended to describe the major requirements and the major duties which
comprise the framework for this job. It is not to be construed as an exhaustive statement
of all the duties, responsibilities or requirements. Methodist Health System retains
the discretion to add or change the job duties at any time.
Methodist Health System is a highly revered, leading nonprofit healthcare organization in Dallas, Texas. Named one of the fastest-growing health systems in America by
Modern Healthcare, Methodist includes 13 hospitals, either through ownership or affiliation. Our wholly owned and full-service hospitals include Methodist Dallas, Methodist Charlton, Methodist Mansfield, Methodist Midlothian, and Methodist Richardson Medical Centers; Methodist Richardson – Campus for Continuing Care; and, our newest, Methodist Southlake Medical Center. Our affiliated physician organization is Methodist Medical Group, which includes more than 50 healthcare clinics, two concierge medicine clinics, an urgent care clinic, and a virtual care platform known as MethodistNOW. At Methodist, we strive to have a diverse workforce that reflects the communities we serve — one that is welcoming of the skills and talents of all groups. Our reputation as an award-winning employer shows in the honors we’ve earned:
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Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson
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150 Great Places to Work in Healthcare nine years in a row by Becker’s Hospital Review
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Military Friendly® Employer, Silver Designation
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One of three Top Healthcare Diversity Organizations in the U.S., 2019
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Ranked No. 2 on DiversityInc’s List of Top Hospitals and Health Systems in America, 2018
Our Care Commitments
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Take Care of Patients
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Take Care of Each Other
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Take Care of Ourselves
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Take Care of Methodist
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