On-site Full-time

Unknown Company is hiring a Sr. Director - Care Coordination/Care Transitions

About the Role

If you aspire to create substantial positive change, join our team as we embrace the Power of One! We aim to be a premier employer and establish a reputation as a talent-rich organization where team members can develop their career while supporting others. For over 100 years, we've addressed healthcare needs in Memphis and the Mid-South region. The Senior Director of Care Coordination and Care Transitions will develop, organize, and manage Care Coordination department operations, providing direct supervision of facility-level case management leadership across our system. This role guides and assesses case management initiatives in partnership with clinical leadership and social service teams to ensure smooth care transitions, resource optimization, and patient advocacy. Demonstrates behavior aligned with our organizational Mission, Vision, and Values. Working here means advancing our mission of community care and positively impacting patient lives through compassion, deliberate service commitment, and consistent excellence pursuit. What you will accomplish: - Architect system-wide care management programs ensuring optimal clinical and financial patient population outcomes - Supervise planning, execution, and continuous improvement of case management processes across all facilities - Direct initiatives reducing extended patient stay and improving patient flow, especially in complex discharge scenarios - Promote patient-centered care initiatives aligned with organizational mission and efficient clinical resource utilization - Serve as senior advisor to executive leadership on regulatory trends, policy changes, and their healthcare delivery/financial performance implications - Establish standardized roles, workflows, and performance expectations for case managers and social workers enterprise-wide - Create integrated care coordination models supporting seamless transitions between inpatient, outpatient, community, and affiliated entities - Collaborate with clinical departments to embed care management principles into service lines and care pathways - Lead system-wide regulatory audit preparation, ensuring compliance and minimizing financial exposure - Partner with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and documentation practices - Collaborate with system finance and contracting teams to evaluate payer agreements and identify revenue optimization opportunities Education Qualifications: - Master's Degree in Clinical Field - Master's Degree in Business Administration Experience Qualifications: - Five years in clinical healthcare setting, including direct care coordination, discharge planning, patient advocacy, and resource utilization - 7-9 years in social work with eight years of progressive leadership in social work, case management, or nursing administration - Preferred: EPIC EHR experience Skills and Abilities: - Executive presence and strategic communication skills, serving as trusted leadership advisor - Comprehensive understanding of regulatory policies, healthcare reform, patient care models, and advanced care management strategies - Proven expertise in clinical data analysis, performance metrics, and outcomes-based research - Exceptional communication skills with cross-stakeholder influence capabilities - Strong financial management, strategic planning, and operational forecasting knowledge - Insight into healthcare delivery dynamics, including policy, market trends, and community needs - Extensive reimbursement and value-based care model expertise - Strong leadership in coaching, mentoring, and navigating complex organizational challenges - Comprehensive care management systems and regulatory compliance understanding - Mastery of healthcare management principles including budgeting and large-scale clinical program oversight Licenses and Certifications: - Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines - Licensed Clinical Social Worker Tennessee - Accredited Case Manager - Case Manager Certification - Licensed Master Social Worker (Mississippi and Tennessee) - Licensed Advanced Practice Social Worker Tennessee - Registered Nurse (Arkansas, Mississippi, Tennessee) Supervision Provided: - Manages system utilization review team and facility-level case management leadership Physical Demands: - Position requires climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion - Requires good balance and coordination - Light work: exerting up to 25 lbs occasionally, 10 lbs frequently - Requires close visual acuity for data analysis, computer work, and extensive reading - Typically performed in office/administrative environment Our team members are passionate about their work, service, and patients. We value family, teamwork, and a Power of One culture demanding highest care standards and unity. Memphis offers one of the South's largest medical centers, combining a welcoming community, dynamic downtown, and affordable living. We view each day as an opportunity to meaningfully impact our community.

Required Skills
Care CoordinationHealthcare Regulatory ComplianceStrategic PlanningPerformance Metrics AnalysisPatient AdvocacyClinical Resource ManagementHealthcare Policy UnderstandingCase ManagementLeadership CommunicationFinancial Performance Optimization
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Posted 4 months ago