Sr. Director Case Management

Overview

At Houston Methodist, the Sr Director Case Management position is responsible for providing executive leadership and strategic oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for the integration and advancement of a unified case management model grounded in clinical excellence, throughput efficiency, care transitions, and denials prevention. A champion of a progressive care management model, the Sr Director Case Management position promotes innovative strategies while fostering interprofessional collaboration across clinical and administrative domains. This position leads enterprise-wide initiatives aimed at optimizing patient progression of care, aligning utilization review practices, enhancing discharge planning processes, and strengthening compliance with CMS Conditions of Participation. The Sr Director Case Management position will interface with system leadership, medical staff, physician advisors, population health, revenue cycle, and post-acute networks to ensure high-performance outcomes, efficient use of resources, and superior patient experiences.The Sr Director position has a direct report to a VP level or above and directs work that has a significant impact on the organization and strategic goals. This position leads or directs key programs; large scope (i.e., system-wide, TMC, or all community hospitals). The scope for the Sr Director position involves setting the strategic vision and administration and has responsibility for multiple budgets (operational and capital) and/or directs work that has significant financial implications, including high-level oversight of the activities within the assigned functional area(s), ensuring quality, productivity, functional excellence, and efficiency to accomplish strategic and operational objectives. In addition, the Sr Director position is accountable for employee engagement, adequate staffing levels, budget development and compliance, and developing and implementing policies and procedures to ensure a safe and effective work environment. This position also ensures training, monitoring and operations initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations. The Sr Director position may serve in lieu of an entity director for the assigned functional area(s). This position may also have direct reports to include director-level employees.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVEDRefer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

• Provide personalized care and service by consistently demonstrating our I CARE values:
  • INTEGRITY: We are honest and ethical in all we say and do.
  • COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
  • RESPECT: We treat every individual as a person of worth, dignity, and value.
  • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

• Practices the Caring and Serving Model

• Delivers personalized service using HM Service Standards

• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience

• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

• Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

PEOPLE ESSENTIAL FUNCTIONS

• Sets the strategic vision and administration and is responsible for multiple budgets (operational and capital) and/or directs work that has significant financial implications including high-level oversight of the activities within the assigned functional area(s), ensuring quality, productivity, functional excellence, and efficiency to accomplish strategic and operational objectives.

• Directs, develops, and implements strategic and operational/high-level projects and processes through independent/highly autonomous work or through the facilitation of work teams to enable the effective and efficient completion of objectives.

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