Director Inpatient Care Management Ops

Department:

11224 Population Health - IL Inpatient Care Management Operations

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Standard hours of operations Monday - Friday, 0800 - 1630, but 24/7 accountability. This role will round regularly on our Advocate North Illinois hospitals including Condell, Good Sheperd, and Sherman.

Accountable for operations and integration of all care coordination strategies for our North Illinois Advocate Hospitals including Inpatient and Emergency Department Care Management (CM) programs for an assigned area. In collaboration with the Exec Dir, ensures work processes are efficient, innovative and support a single system of care coordination. Care coordination is the development of integrating services to hardwire safe seamless transitions for patients across the continuum, improving clinical quality, create efficiencies, reducing total cost of care and improving patient and family experience. This role will interact with all key areas that impact care coordination (nursing, post-acute network, home health, physicians, and outpatient care managers, etc) This role has oversight and accountability of the Site CM leaders within their region to ensure implementation of the common vision, goal alignment, effective communication, sharing of expertise and leveraging resources at hospitals to achieve economies of scale. This role will have input into or be responsible for the Site CM leaders with regards to hiring, coaching, performance reviews, talent management, budgeting, goal and KRA establishment. These programs and strategies are essential to the quality and financial effectiveness of our risk contracts.

Major Responsibilities:

• Strategy & Integration – Accountable for contributing to development of the enterprise strategic and annual operating plans for IL or WI for Advocate Aurora care coordination inpatient and ED care management programs in alignment with enterprise population health. Integrates national best practices and benchmarks into the program to ensure optimal outcomes for the healthcare system. Ensures the care management inpatient program goals are aligned with the overall Advocate strategic initiatives in enterprise population health. Responsible for developing a professional, team-oriented, service culture that contributes to the goals of the enterprise and department. Has expert knowledge of the processes related to financials in the revenue cycle model; supports and directs initiatives that result in improved quality, efficiency and financial performance.
• Performance Management - Provides accountability and oversight for the development of structures, processes and initiatives designed to improve care coordination projects that will define the continuum of care for each patient population and best practice solutions for care coordination. Ensures a plan for education, communication, training and implementation planning. Serves as a leader for oversight for the AAH site CM leaders to ensure delivery of the vision, strategies, and roadmap including utilization outcomes, process metrics, and financial performance of all value based contracts (significant impact on the AAH financial performance). Provides leadership/mentorship to site leaders of CM for effective implementation and optimal performance. Leads in setting performance management goals, operating plans, dashboards, and outcome tracking tools to ensure performance is monitored, on target and achieving intended outcomes. Rounds on site CM leaders at AAH sites including observations and onsite reviews/rounds to ensure project deployment and operation are in alignment with system goals/targets. Works with performance improvement and project managers as project leads related to care coordination tactics as assigned (Medicare Bundled Payments for Care Initiatives and Medicare Shared Savings Program).
• Communication / Relationships – Accountable for communication and data reporting to Site Leadership Teams and key stakeholders. Provides leadership and mentorship to site managers and supervisors to ensure effective implementation, change management, and optimal performance. Collaborates with Executive Director in setting KRAs, operating plans, dashboards, and outcome tracking tools to ensure performance is monitored, on target and achieving inten