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Overview The Director of Care Management is responsible for providing overall management of the Care Coordination department responsible for patient care coordination, including oversight of Managers of Care Coordination, Social Workers, and office administrative staff. In addition the director will oversee bed management including the Hub. Job Details The Director of Care Management: Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle and Patient Access departments to ensure the most advantageous clinical and financial outcomes. Supports all CH and consultant initiatives addressing activities relative to Care Management and Denials. Identifies opportunities for improvement that result in development of efficient processes and enhanced revenue. Provides guidance and education to the Care Coordination department, Medical Staff, and SCSH Administrative Staff. Ensures compliance with Hospital Conditions of Participation. Implements care management programs, including utilization review, intake and discharge planning. Evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Develops and maintain budgetary departmental goals. Performs department scheduling that works to maximize hospital coverage for discharge planning. Addresses patient or family concerns/complaints. Attends and address care coordination agenda items during intradepartmental meetings. Supports patient experience initiatives by promoting department iCare values and behaviors. Pursues continuing education, certification and self-development to remain current with industry standards and business objectives. Customizes innovative discharge plans that supports frontline staff with challenging discharge barriers. Coordinates with post-acute facilities (rehab, long term placement, assisted living, group home) to better support our patients. Oversees bed management including the Hub. What you’ll bring: Passion for Care Management and Leadership. Experience in a hospital care management leadership role is required. Experience in utilization management, working with managed care organizations, and discharge planning is required. Current knowledge of NY Department of Health and Centers of Medicare and Medicaid regulations is required. Knowledge of Joint Commission Standards, and federal, state and QIO regulations. Familiarity with admission and concurrent in-patient criteria is preferred. Experience with data analytics preferred. Education: Bachelor of Science in Nursing (BSN) degree required. Master of Science degree strongly preferred. Licensure: New York Registered Nurse (RN) License & Registration. Certification: Care Manager Certification (CCM) preferred. Salary Range USD $172,500.00 - USD $220,000.00 /Yr. Good Samaritan University Hospital is a 537- bed (including 100 nursing home beds) teaching hospital and a member of Catholic Health. With almost 900 physicians on staff, and a level I Trauma Center, we care for well over 100,000 patients annually across the south shore of Long Island. Our reputation for excellence is built on great choices and empowered leadership, and fosters a team that's focused on evidence based practice, continual learning and exceptional quality of care. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits.