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Sanford Health · 2 months ago

Director, Care Management, Health Plan

Sioux Falls, SD

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. The Director of Care Management is responsible for providing clinical administrative leadership and expertise, developing quality indicators, and contributing to the strategic planning and operations of the organization.

ChildrenEducationHealth Care

Responsibilities

Responsible for providing clinical administrative leadership and expertise to departments and practice operations

Develops and monitors appropriate clinical, satisfaction, and administrative outcome indicators for quality and continuous improvement

Responsible for providing professional, technical, and clinical expertise

Possesses major responsibility for implementing the vision and mission, plan and standards of the organization and the Care Management department

Contributes to the strategic planning process, day-to-day operations, and attainment of goals of the organization

Responsible for the maintaining communication and for the contextual environment in which clinical services are delivered across the organization

Actively participates in tasks force, committees, board meetings, etc. to assist with the overall organizational goals and strategic initiatives

Knowledgeable of governing bodies, budgeting, accreditation, and contracts

Review and consult on final strategic plans in collaboration with leadership

Collaborates with other health systems as necessary

Ability to carry out strategies and tasks and support the mission and goals of the organization

Develops trusting relationships with personnel, clinical professionals, other leadership, and multi-disciplinary departments in a professional attitude

Understanding of current and potential team capabilities and ability to clarify performance targets and objectives to drive project and process improvement strategies

Knowledge of human resources and personnel management processes; ability to lead, motivate, evaluate, and reward personnel at the work place

Qualification

Nursing degreeCase management experienceLeadership skillsHealthcare Effectiveness DataInformation Set (HEDIS)Accreditation knowledgeMultistate nursing licensureCommission for Case Manager Certification (CCMC)Certified Professional in Healthcare Quality (CPHQ)Personnel managementCommunication skillsTeam collaboration

Required

Bachelor's degree in Nursing

Previous experience in case management

Minimum of 5 years nursing experience

Currently licensed with the applicable state nursing board and/or possess multistate licensure privileges as required by position (e.g. home state licensure and also Minnesota licensure)

Preferred

Master's degree in Nursing or related area

Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA)

Management, leadership, Healthcare Effectiveness Data and Information Set (HEDIS), and accreditation

Current Commission for Case Manager Certification (CCMC) is preferred or is to be obtained within 18 months of employment

Certified Professional in Healthcare Quality (CPHQ) certification is preferred