Job Summary

Provides leadership and oversight, guiding strategic development, planning, implementation, evaluation, and continuous improvement within the inpatient care management space. Ensures seamless transitions between inpatient care management, outpatient case management, post-acute care networks, and affiliate hospitals. Collaborates with various stakeholders, including hospital and health plan leaders, administrative leaders, inpatient and ambulatory care teams, pharmacy, post-acute care providers, revenue cycle leaders, and legal and regulatory departments. Maintains high standards of care and monitoring data metrics to achieve organizational goals and objectives.

Job Duties

• Develops system, regional and hospital-based strategies to implement the components of Care Without Delay.
• Observes the components of Care Without Delay and works collaboratively with leadership to assure compliance.
• Assures alignment of goals and sharing best practices across the enterprise.
• Maintains system and processes for effective quality and clinical outcomes management programs.
• Monitors the metrics and compliance for the various Care Without Delay components.
• Works with various healthcare providers, community organizations, and support services to ensure patients receive the necessary follow-up care.
• Develops, coaches, and manages a staff within scope of accountability to ensure consistent provision of high-quality clinical care.
• Oversees the complex care management team across the organization.
• Develops strategies and strategic partnerships to assist the complex care management team with challenging patient placement.
• Partners with physicians and clinical teams to make recommendations for placement options based on the care needed.
• Serves as a subject matter expert in the care management discipline to assist with the continuum of care.
• Identifies key performance metrics for department of care management and monitors accordingly.

Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Position Details

Qualifications and Requirements:

• Masters Degree

• Minimum (8) years Managerial/Supervisory Work Experience

• Minimum (10) years Clinical Experience

Education

Master's Degree-Related Field of Study (Required)

Experience

Minimum of 8 years-Managerial/Supervisory (Required), Minimum of 10 years-Clinical (Required)

Certification(s) and License(s)

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

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