Director of Care Coordination

Overview

At Dignity Health, living our values means bringing passion into action every day. Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services including network-wide opportunities to advance your career.  Our exceptional benefits package includes:

• Competitive compensation
• Flexible scheduling
• Career growth opportunities
• Tuition reimbursement
•  * Education Benefit
•  Relocation assistance for eligible positions

What started as a simple community hospital, is today a state-of-the-art healthcare system with two acute care hospitals, a network of primary and specialty care clinics, outpatient health and wellness centers, cardiac diagnostic centers, and outpatient medical imaging centers.

As you build your career at DH-YRMC, you’ll find Prescott is an inspiring place to live, work, and enjoy the outdoors.

•  It is an inviting community with bygone charm and modern amenities.
•  Local residents enjoy four spectacular seasons, while the area offers nearly year-round sunshine for any outdoor adventures.
•  The carefree, relaxed lifestyle offers short commute opportunities, so you can focus on your career and your family.

Dignity Health-Yavapai Regional Medical Center extends this feeling with a strong sense of family, security, and belonging. Our compassion and commitment to quality care have earned awards, such as the Stroke Care Excellence Award (2022), Neuroscience Excellence Award (2021, 2020), and America’s 100 Best Hospitals for Stroke Care Awards (2020, 2021) and have placed us at the top of the charts in community and nationwide in healthcare. Come experience the incredible quality-of-life that Dignity Health-YRMC and Prescott have to offer! #hellohumankindness

Job Summary

The Director of Care Coordination (CC) is responsible for the implementation, evaluation and direction of Care Coordination in support of the CommonSpirit Health Care Coordination model. The leader has oversight of clinical resource management, progression of care, discharge planning activities, patient advocacy and clinical social work. In collaboration with the National Market Director Care Coordination, the CC Director develops strategies to achieve departmental and CommonSpirit Health goals and objectives.

This position directs the CC staff to meet or exceed operational performance standards. The Director oversees the implementation of CC policies, procedures and processes; directs and assists with accreditation activities; management of progression of care, addresses psycho-social needs; and, compliance with payer and regulatory requirements to achieve Care Coordination program outcomes and quality metrics.

Job Details

• Provides strong leadership and direction to the care coordination department, including staff supervision, team building, and performance management.
• Develops, implements, and evaluates care coordination programs and strategies to optimize patient care, resource utilization, and quality outcomes that align with system-wide Care Coordination.
• Ensures that the care coordination department adheres to all relevant healthcare regulations, accreditation standards, and organizational policies.
• Oversees the daily operations of care coordination, including staff supervision, budget management, and resource allocation in alignment with organizational goals.
• Leads improvement groups and collaborates with healthcare providers, insurance companies, and other internal and external stakeholders to coordinate patient care and facilitate communication across the care continuum.
• Monitors and analyzes data related to care coordination activities, patient outcomes, and resource utilization to drive decision-making and improvements.
• Trains and evaluates care coordination staff to ensure they are aware of and implementing system initiatives, possess the skills and knowledge necessary for effective performance and completion of required education.
• Advocates for patients' needs and rights, ensuring they receive appropriate care and support throughout their healthcare journey.
• Maintains effective communication with system, regional, market and care facility leadership, clinical staff, and external stakeholders to facilitate efficient care coordination operations.
• Drives and engages multidisciplinary teams and committees to address complex patient care issues and develop integrated plans of care.
• Ensures and monitors the established goals and key performance indicators (KPIs) to drive continuous improvement.
• Collaborates with Utilization Management Hub leaders on trends and opportunities, ensuring action plans are developed to address identified gaps.
• Directs recruitment, performance management, coaching, mentoring, training and development of care coordination staff and leaders.

Minimum Education and Experience:

• Bachelor's Degree in Nursing (e.g. BSN) or Masters in Social Work or equivalent education and experience 
• Minimum of 5 years of clinical care coordination experience, (Utilization Management, Denial Management, Case Management, Care Coordination) or 5 years of progressively responsible healthcare management experience 
• Extensive operational experience, program planning, implementation, staff development, and needs assessment in healthcare environment 
• Comprehensive knowledge of care coordination and discharge planning 
• Actively work within electronic health record (Epic, Cerner, Meditech, and/or Paragon)
• Understand how utilization management and care coordination programs integrate

Minimum Licensure:

• Current AZ unrestricted Registered Nurse (RN) license or LCSW license 
• National certification in either of the following: CCM (Certified Case Manager), ACM (Accredited Case Manager) required or within 2 years upon hire

Preferred:

• Master's degree in Nursing, Health Care Administration or related clinical field 
• Experience with data analytics related to include cost containment, over/under utilization assessment and clinical outcomes

We offer great benefits to support you and your family, including:

• Medical/Dental/Vision Insurance (no premium option for employee benefits)
• Flexible spending accounts
• Matching 403(b) retirement program
• Fully Funded Pension Plan
• Paid Time Off (PTO)
• Tuition Reimbursement
• Mental Health Benefit
• Employee Life Insurance
• Eligible for annual incentive pay based on company performance
• Relocation assistance if applicable
• Dignity Health now offers an Education Benefit program for benefit-eligible employees in Arizona. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. Advanced Practice Providers and Faculty Physicians can receive up to $90,000 if full-time and hired within a year of completing their residency or fellowship. Part-time providers can receive up to $45,000. Join our team at Dignity Health to take advantage of this amazing opportunity!