Compassion. Accountability. Collaboration. Foresight. Joy.
These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.
Aspirus is seeking a Director - System Care Coordination to join our team at the Aspirus Wausau Corporate Office!
Description: The Director – System Care Coordination is responsible for system-wide Care Coordination functions (Utilization Review, Social Work, Navigation, and Case Management) including the execution of the care coordination strategic plan for the health system and the health plan, which includes organizing and directing an integrated cross-continuum care management and transitions of care program that monitors (on both an individual case and aggregate level) and directs actions to ensure achievement of health system and health plan goals, initiation of change management processes, and implementation of best practices, policies, and procedures. The position is responsible for all Aspirus entities (hospitals, clinics, post-acute care, and contracted care coordination services provided through Aspirus Business Health and the Aspirus Health Plan) and has accountability for the overall supervision of all Registered Nurses, Social Workers, and other healthcare providers in the area under their direction. The Director – System Care Coordination is responsible for recruitment and retention, performance reviews, professional development, and delivery of care management and transition services.
Hours: 1.0 FTE, 80 hours every two weeks, Monday - Friday (Standard Businesses Hours)
Experience/Qualifications:
Knowledge of patient care standards and management practices in a healthcare environment normally acquired through completion of a bachelor’s degree in Nursing.Master’s Degree required in business, health care administration, or nursing.Extensive knowledge of payer mechanisms and clinical utilization management is required.A minimum of five years of experience in care management or utilization reviewA minimum of five to seven years of leadership experience in care coordination, case management, or utilization review, in an integrated healthcare delivery system and/or health plan.Possesses an active Wisconsin or Michigan RN nursing license.Nationally recognized certification preferred, i.e., Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified Professional Utilization Review (CPUR), or Diplomat of American Board of Quality Assurance and Utilization Review Physicians (D-ABQAURP)Knowledge of HEDIS, MIPS, Core Measures, NCQA.Possesses working knowledge of clinical systems, outcome measures, and processes required along with various patient information systems including Pathways, HEDIS, etc.Knowledge and understanding of hospital information systems and their potential uses and benefits.Possesses facility for data analysis and interpretation. Must be data driven with a passion for medical management. Possesses ability to organize and present data in a concise and easily understood manner to peers, physicians, and other stakeholders.Annual competencies as required by Aspirus and/or various regulatory agencies based on entity and/or job position.Employee Benefits
Aspirus Wausau Hospital is the flagship of the Aspirus system that serves patients in 14 counties across northern and central Wisconsin, as well as the Upper Peninsula of Michigan. It is a licensed private/not-for-profit facility with 325 beds and staffed by 350 physicians in 35 specialties. Aspirus Wausau Hospital is a Level II trauma center that provides primary, secondary and tertiary care services as a regional referral center. Specialty referral service emphasis exists in cardiology and cardiothoracic surgery, orthopedics and cancer. The hospital has an average daily inpatient census of 220 with approximately 15,000 admissions per year. Outpatient visits exceed 50,000 and there are also more than 24,000 annual emergency department visits. To learn more about Wausau click the following link: Wausau, Wisconsin
Best known for its world-class cardiovascular program, Aspirus Wausau Hospital also provides leading edge cancer, trauma, women's health, and spine and neurological care.
Our Mission: We heal people, promote health and strengthen communities.
Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.
As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.
Aspirus Health is a non-profit, community-directed health system based in Wausau, Wisconsin. Its 11,000 employees are focused on improving the health and well-being of people throughout Wisconsin and Upper Michigan. Aspirus serves communities through four hospitals in Michigan and 13 hospitals in Wisconsin, 75 clinics, home health and hospice care, pharmacies, critical care and air-medical transport, medical goods, nursing homes, and a broad network of physicians. For more information visit aspirus.org.
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Credentials:
Essential:
* REGISTERED NURSE LICENSE