• Job Title: Administrative Director of Care Management
• LEVEL: Senior
• REPORTS TO: Vice President Finance, Chief Financial Officer
• TRAVEL REQUIRED: Travel not required
• Location(s): Houston, TX
• SALARY : $141,128.00 - $176,404.00
• RELOCATION PACKAGE: Full

Principal Accountabilities:

• Works in collaboration with the local level Directors of Case management to plan and coordinate all aspects of the local level program.
• Facilitates growth and development of the case management program consistent with enterprise-wide philosophy and in response to the dynamic nature of the health care environment.
• Identifies and achieves optimal targeted clinical and financial outcomes via the case management process.
• Assures that revenue, expenses, contribution margin, and FTE’s meet or exceed budget.
• Prepares and submits budget and related reports.
• Forecasts and accurately projects expenses.
• Takes corrective action to address negative variances.
• Identifies and proposes capital budget items appropriately.
• Acts as liaison to facilitate communication and collaboration between all care partners.
• Leads a high-performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.
• Uses data to drive decisions, plan, and implement performance improvement strategies for case management.
• Oversees the education of physicians, managers, staff, patients, and families related to the case management process at the system level.
• Participates in the evolutionary process by constantly identifying future needs of current customers and/or identifying potential new customers.
• Responsible for the ongoing development of the Care Management program to extend beyond the acute inpatient environment.
• Ensures safe care to patients, staff, and visitors; adheres to all policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor, and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
• Models Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
• Other duties as assigned.

Requirements

Minimum Qualifications:

• Education: Bachelors of Nursing (BSN) or Masters Social Work (MSW). Masters degree preferred

Licenses/Certifications:

• Current and valid license to practice as a Registered Nurse in the state of Texas or
• Current and valid Texas license as a Master’s Social Worker (LMSW) required,
• LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM), or
• Fellowship of the American Academy of Case Management (FAACM) required.

Experience/ Knowledge/ Skills:

• Minimum five (5) years’ experience in utilization management, case management, discharge planning, or other cost/quality management program
• Three (3) years of experience in hospital-based nursing or social work preferred
• Knowledge of leading practice in clinical care and payor requirements
• Self-motivated, proven communication skills, assertive
• Background in business planning and targeted outcomes
• Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management
• Working knowledge of the concepts associated with Performance Improvement
• Demonstrated effective working relationship with physicians
• Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes
• Effective oral and written communication skills