At WellStar, we all share common goals. That’s what makes us so successful – and such an integral part of our communities. We want the same things, for our organization, for our patients, and for our colleagues. As the most integrated healthcare provider in Georgia, this means we pride ourselves on investing in the communities that we serve. We continue to provide innovative care models, focused on improving quality and access to healthcare.
The Executive Director of Acute Case Management reports to the Vice President of care coordination and is accountable for the leadership and management of the assigned region of care coordination. Is accountable for all aspects of the program.
The ED will work in conjunction with the VP of Care Coordination, this position is responsible for defining, developing, and implementing strategic and operational initiatives for all areas of responsibility. Serves as the subject matter expert for care coordination programs. Drives results through effective hiring practices, sound management philosophy, and measurement/management of key performance indicators. Leads development of care management protocols, external relationships with the transfer center, and adjudicates conflicts that arise related to external and internal transfers.
The Executive Director will also have oversight for systemwide program compliance, will work closely in conjunction with the hospital on site VPMA’s and Care Coordination leaders. Is accountable for all training and competency needs annually. The ED will put processes in place to track and trend program compliance and progression of operational goals. Will utilized the data to engage and drive continuous performance improvement to support Los and patient throughput. He/she collaborates with interdisciplinary teams including, but not limited to, physicians, nurse practitioners, PA's, and the department leaders for Revenue, Coding, Clinical Documentation Specialists, Health Information Management, nursing, radiology and laboratory services.
The Executive Director will work collaboratively with the hospital leaders, care coordination leaders and other clinical leaders as a resource and advisor, proactively analyzing, seeking out opportunities to improve operational, clinical, quality, and patient satisfaction outcomes. The individual in this role will identify opportunities to optimize performance, build internal competencies and create a more rigorous approach to care coordination throughout the enterprise, bringing a strong focus on accountability and appropriate utilization of resources. He/she will partner with external organizations to ensure regulatory compliance and best practice program performance. Serves as an institutional liaison and industry expert for the Medical Staff, financial intermediaries, payors, vendors, and Administration.
Required Minimum Education: Must hold either a master’s degree in Nursing or Baccalaureate degree in nursing (BSN) from accredited nursing schools with a master’s degree in a related field.
Required Minimum Licensure/Certification: Registered Nurse, actively licensed in the state of Georgia. National certification in nursing administration or clinical specialty preferred. Must have a current BLS card from the American Heart Association on the first day of employment in position.
Required Minimum Experience: Minimum of 10-12 total years of experience as a Registered Nurse; includes 5-7 years of progressive operational leadership in a director level or above role in an acute care or system setting.
Required Minimum Skills: Excellent data and analytics skills. Ability to utilize data to drive decisions. Proficiency with identifying problems and recommending solutions, preparing and maintaining records and written reports. Strong relationship building ability to establish and maintain effective working relationships with physicians, leaders, clinicians, and other community-based providers. Ability to interpret, adapt, and apply guidelines and procedures. Ability to analyze complex clinical scenarios and apply critical thinking.
Extensive knowledge of reimbursement systems, including federal, state, and payer-specific regulations and policies pertaining to denials/appeals, documentation and coding. Has led broad-scale change. Proficient on computer usage, especially database and spreadsheet analysis.
Join us for outstanding benefits and development opportunities. We also offer state-of-the-art technology, professional support and advancement, and colleagues that rank amongst the best in the country. The WellStar culture of caring has also been nationally recognized three years in a row by Fortune Magazine as one of the “100 Best Companies to Work For”. Step up to your potential. Find out more and apply today.
WellStar is an equal opportunity/affirmative action employer. All applicants are considered without regard to race, color, religion, sex, age, national origin, disability, veteran status or any status which is protected by local, state or federal law.
FacilityWellStar Shared Services
|Location:||United States Georgia Marietta|
|Salary:||Highly Competitive USD per year|
Healthcare and Medical
PLEASE! No enquiries from Recruitment Agencies or Headhunters.
Only direct applications will be considered.