Primary City/State:
Phoenix, ArizonaDepartment Name:
Care Coordination-CorpWork Shift:
DayJob Category:
Clinical CareBanner Health believes leadership matters. We value and celebrate equity, diversity and inclusion and our leaders are at the forefront of health care transformation. We are One Team committed to the future of Banner Health as a high reliability organization, with excellence and safety in healthcare delivery.
Banner Health is a non-profit health system based in Phoenix, Arizona, with 30 hospitals and several specialized facilities across six states, and having over 55,000 employees. If you have significant leadership experience in a large health care system with system level expertise in development and implementation of case management programs and services across the acute care setting, including optimization, resource utilization , quality outcomes and maximizing services, consider this unique opportunity with Banner Health!
Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package.Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.POSITION SUMMARY
This position provides system-wide leadership in the development and implementation of case management programs and services across the acute care setting, including optimizing care coordination, resource utilization, quality outcomes and maximizing reimbursement. This position is responsible for driving and supporting all Care Today programs and processes, with focus on quality of outcomes and superior service, while promoting a collaborative, open, and inclusive work environment within a highly matrixed organization. This position also monitors and oversees compliance of customer service, stakeholder relations, workforce, and financial goals and objectives as developed by the Board of Directors and senior executive management. This position is responsible for serving as a role model to staff across the system and representing Banner in a positive manner both within and outside the organization.
CORE FUNCTIONS
1. Directs and oversees the development and implementation of company-wide care coordination, utilization management, and social work services policies, procedures and programs in conjunction with related goals and objectives. Ensures compliance with federal and state regulations, and accreditation organizations, as well as established organizational policies and procedures. Communicates the department vision, translating it into actionable projects and activities. Maximizes management staff’s contributions and assures timely decision-making reflecting the mission, vision, and values of the system.
2. Guides the development and implementation of short and long-range goals and objectives for care coordination in the acute-care setting across the system. Incorporates best practices and responds to emerging trends to enhance operations, programs, and/or services. Implements and evaluates strategic programs, develops effective tools to measure performance, analyzes related data, prepares reports, and makes recommendations to senior leadership based on findings.
3. Responsible for designing, implementing, and monitoring medical management processes that will result in optimal clinical outcomes and effective and efficient utilization of resources.
4. Ensures that development of care coordination services across the continuum leads to outcomes supportive of the organization’s strategic plan. Designs and implements processes to ensure appropriate care coordination in accordance with regulatory and standards of safety. Directs and participates in the development, implementation, and consistent application of effective organizational policies, procedures, and practices. Develops and supports internal controls to ensure that assets are safeguarded, policies and operating procedures are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved.
5. Develops and oversees the system-wide budget for Care Today to meet corporate goals and objectives. Meets annual budgetary goals. Translates organizational plans, goals, and initiatives into assumptions for annual operating and/or capital budgets. Negotiates contracts with external vendors for products and/or services and monitors/evaluates quality and/or performance. Manages and reports expenditures and accounts payable transactions.
6. Directs, supervises, and evaluates the work of direct staff and matrixed employees. Accountable for achieving plans and performance targets. Works with cross-functional team members to identify and resolve the most complex issues and problems. Supports development and continued professional growth to meet company and individual goals for long-term success. Demonstrates an expectation for continuous quality improvement utilizing processes that include consideration of all stakeholders.
7. Participates as a subject-matter expert and may lead or facilitate task forces, teams, and/or councils to plan, implement and coordinate programs, services, and/or activities for the organization. May serve as a staff resource to the organization’s Governing Board and/or applicable committees.
8. Reviews, prepares, analyzes, and presents reports and recommendations to senior leadership regarding operations, programs, services, and/or other applicable areas of interest in order to provide concise and accurate information that aids in decision-making.
9. This position has direct leadership accountability for case management and BHURD services and programs in the acute care setting across the system, and includes indirect responsibility for expense budgets in excess of $10 million. This position requires the skill to negotiate and influence. Customers of this position are both internal and external, including leadership, staff, medical staff, regulatory agencies, and/or the community.
MINIMUM QUALIFICATIONS
Must possess a strong knowledge of nursing, case management or healthcare related field as normally obtained through the completion of a bachelor's degree or equivalent experience.
Requires RN licensure or Licensed Master Social Worker (LMSW) (equivalent*) or Licensed Clinical Social Worker (LCSW).
Expert-level working knowledge of principles, practices, and operations in assigned or related area of responsibility as normally obtained through a minimum of five years of progressively responsible managerial experience, including a minimum of two years management level experience within a healthcare system setting or large multi-operational, complex corporate environment. Must demonstrate expert-level knowledge and awareness of area of expertise in designated facility, business entity or area and/or experience in which the knowledge, skills, and abilities are directly transferrable. Proven track record of driving successful performance outcomes and accomplishing organizational goals. Must demonstrate skills and business acumen through direct leadership experiences such as: Anticipating and responding to the needs of internal and external customers; managing a budget and financial plans; building partnerships with management, staff, and stakeholders to achieve department goals and objectives; managing problems and situations where uncertainty is inherent; persuading others to adopt a particular stance on an issue; developing and evaluating best practices and emerging trends for organizational applicability and appropriateness; constructing new and innovative solutions for complex and varying problems and situations while considering the larger perspective or context; mentoring and coaching staff by providing open and honest feedback to enhance performance; developing and implementing strategic goals and initiatives that support organizational success; demonstrating excellent human relations, organizational and communication skills; demonstrating a passion about continuously improving and providing high quality care and service excellence to customers, patients, families, employees and/or physicians.
PREFERRED QUALIFICATIONS
Additional related education and/or experience preferred.
EEO Statement:
EEO/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
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