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Description

This position is incentive eligible.

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Director Clinical Case Management today with HCA Healthcare.

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

Come join our team as a Director Clinical Case Management. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

The Director of Hospital Case Management (HCM) Operations will be a Subject Matter Expert (SME) and lead cross-functional teams within and outside from the Case Management department to develop and operationalize comprehensive programs to achieve desired strategic objectives. The Director will collaborate with highly clinical teams and leadership including: physicians, nursing, pharmacy, division VPs, and others. The Director will identify opportunities and facilitate process standardization, while optimizing technology efficiencies and reporting capabilities in a metric driven environment. The Director of Hospital Case Management Operations is responsible for the assessment, planning, coordination, development, and direction of Hospital Case Management initiatives as assigned. This position will serve as virtual onsite support to select divisions/markets as needed. This position requires up to 50% travel to HCA facilities. This position requires an individual who is a self-starter and thought-leader, has the ability to manage multiple priorities, work with minimal supervision on assigned projects and activities, demonstrates tact and diplomacy in situations of conflict and controversy and demonstrates excellent communication and presentation skills. This individual must be able to adapt quickly to change and be able to coordinate efforts across multiple stakeholders. The Director must understand the clinical and financial aspects of case management and must be comfortable working with all levels of management. The Director will work directly with the Divisional Leadership team and Group Vice Presidents

Major Responsibilities:

+ Provides virtual onsite support to multiple markets/divisions

+ Complete Ad hoc projects as needed.

+ Provides support to Facility and Division leadership, and identifies areas of opportunity for continuous improvement including ongoing education and resources as needed

+ Applies InterQual criteria, determining current / proposed level of care.

+ Identifies and proposes strategies to address barriers to care progression and discharge planning, including financial, emotional, psychosocial, medical, and spiritual on reviewed cases.

+ Provides subject matter expertise and oversight in complex care management and discharge planning.

+ Works collaboratively with members of the case management team to address issues that arise through the complex patient escalation process.

+ Assists in toolkit development, training, and implementation as assigned.

+ Participates on length of stay projects by providing analysis of current state, opportunities, and mitigation recommendations based on research.

+ Effectively manages tasks and priorities in order to complete objectives timely.

+ Establishes and maintains effective and positive relationships which promote teamwork

+ Other duties as assigned

What qualifications you will need:

+ Strong clinical background with 4 years acute care nursing experience, 2-3 years critical care experience preferred.

+ 4-5 years recent Case Management experience required with a strong emphasis on care coordination (progression of care), complex care and discharge planning.

+ Knowledge and understanding of governmental and Joint Commission regulations.

+ Ability to instruct in the approved methods, procedures and practices employed in effective care coordination and discharge planning.

+ Competent in the application of InterQual criteria for progression of care.

+ Strong knowledge of post-acute requirements and available community resources.

+ Ability to research national and community programs available to patients with limited or no resources.

+ Ability to analyze data and employ approved management techniques and statistical tools to obtain maximum effectiveness, efficiency and information.

+ Knowledge and understanding of standard hospital requirements / strategies / resources used to manage patients with extended length of stay and how to leverage these resource (UR Committee, CFO, Physician Advisor, CMO, Legal, Ethics, Palliative Care, etc.).

+ Ability to establish and maintain collaborative and effective working relationships.

+ Ability to communicate effectively in oral, written and electronic formats.

+ Strong analytical and critical thinking skills.

+ Must be able to gain proficiency in use documentation systems to Midas, Meditech, and other electronic medical records

+ Proficient in Microsoft Office Suite

Education & Experience:

+ Bachelor's Degree in Nursing required

+ Master's degree preferred

+ 5+ years of experience in acute care nursing required

+ 3+ years of experience in Case Management required

+ The job may require travel up to 50%

**HCA Healthcare (Corporate)** , based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled **resources and opportunities** to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and **career advancement opportunities** , every person has a solid foundation for success. Nashville is also home to our **Executive Development Program** , where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Director Clinical Case Mangement opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.