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Overview

Director-Care Management

Are you exceedingly driven, dedicated, and passionate about caring for your patients? Do you consistently create and nurture meaningful relationships with your team, your patients, and their loved ones. Can you strike the perfect balance of integrity, compassion, accountability, respect, and excellence?

Then you have what it takes to be a St. Francis Hospital & Heart Center® RN. You are at the heart of health.

St. Francis Hospital, The Heart Center® is New York State's only specialty designated cardiac center. A member of Catholic Health, St. Francis is consistently recognized by U.S. News & World Report as a national leader for Cardiology & Heart Surgery, as well as for Gastroenterology & GI surgery, U.S. News rates St. Francis as high performing in Geriatrics, Neurology & Neurosurgery, Orthopedics, and Pulmonology. Nursing care at St. Francis is also nationally recognized, with multiple Magnet designations, as well as the AMSN PRISM Awards® and Beacon Awards. St. Francis has regularly out-scored other hospitals on Long Island.

St. Francis Hospital is dedicated to providing a supportive environment, committed to the highest standards of patient care, where health care professionals can develop their expertise and strengthen their credentials.

Job Details

RESPONSIBILITIES AND COMPETENCIES

+ Establishes, manages, and evaluates departmental policies and procedures, departmental goals and staffing levels and assignments.

+ Develops and monitors the department operational budget.

+ Interviews, hires and oversees the orientation and education of staff.

+ Develops a system of ongoing education and development of staff as a group and individually and monitors staff satisfaction.

+ Assures compliance with regulatory and external review agencies.

+ Participates in the Utilization Management Committee, reporting data on utilization trends, resource utilization and denials.

+ Serves as a resource to physicians, physician advisors, CM department, and hospital staff.

+ Collaborates with all disciplines and departments to optimize key clinical and financial outcomes.

+ Participates in committee work at SFH and its affiliates.

+ Presents the executive team with ongoing, reliable information and data as requested.

+ Facilitates patient flow through to positively impact the continuum of care.

+ Monitors/Participates in efforts to decrease LOS on an ongoing basis.

+ Collaborates with interdisciplinary team to assure medical necessity and appropriate patient status.

+ Encourages performance excellence by providing ongoing coaching and timely feedback.

+ Provides recognition and rewards the achievements of other on an ongoing basis.

+ Empowers others by effectively delegating responsibility for tasks and projects.

+ Establishes clear responsibilities and expectations with his/her staff.

+ Monitors employee performance against measurable outcomes and objectives.

+ Looks for the underlying cause of an issue to identify long term solutions that prevent recurring problems.

Communication

+ Maintains open communication with all appropriate parties.

+ Utilizes advanced conflict resolution and negotiation skills to ensure timely resolution of issues.

+ Refers cases and issues to Physician Advisor in compliance with identified procedures and follow-up as indicated.

+ Identifies, plans and coordinates aspects of care for the patient/family.

+ Initiates required forms and or letters to comply with regulatory guidelines.

+ Completes timely and appropriate documentation.

Competencies

+ Priority Setting

+ Time Management

+ Action Oriented

+ Composure

+ Informing

+ Self Development

+ Self Knowledge

Position Requirements and Qualifications

Education/Experience

+ N. License required.

+ BSN Bachelor of Science in Nursing required

+ Master Degree required

+ Approved National Certification.

+ Demonstrates a commitment to professional development. Required to pursue ongoing education and self development to remain current with regulatory and industry standards and business objectives related to Care Management.

+ Leadership and management experience in Care Management.

Skills

+ Basis knowledge of personal computer and software for word processing and spreadsheets and/or Hospital Information Systems preferred, or the ability to enter and retrieve data from relevant computer systems.

+ Ability to effectively communicate with all levels of hospital staff in a verbal and written manner; demonstrated ability to be organized and efficient in prioritizing and managing assignments with minimal oversight and direction.

+ Demonstrates a courteous, professional demeanor and team spirit and the ability to work in a

+ Collaborative, effective manner.

+ Ability to utilize critical thinking and apply sound clinical judgment and assessment skills for decision making.

Knowledge

+ Knowledge of Federal, State and regulations preferred.

+ Knowledge of acute care, home care, sub acute care, long-term care, hospice care and rehab options and requirements.

+ Maintains knowledge of requirements by third party payers, regulatory agencies, and managed care entities concerning levels of care, continuity of benefits and medical necessity guidelines.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.