Regional Director Care Management-Cedar Rapids

Why UPH

This position will support the Cedar Rapids, IA region.

The Regional Lead is responsible for day to day management of the UPH Care Management program in their region. This includes responsibility for in patient, cross continuum, and ambulatory program and resources. This role is responsible for both operational and clinical activities to ensure a comprehensive, cohesive, and coordinated approach to the care of patients over time and across the entire spectrum of healthcare services.

The Regional Lead has a dual report to the UPH Care Management Executive and to the Regional Executive responsible for Care Management and/or Population Health in their region. The Regional Lead accepts responsibility from UPH Care Management Executive for deployment of consistent processes and workflows to achieve established outcomes. This individual accepts responsibility from the Regional Executive to allocate resources across the enterprise and utilizes the regional executives' sponsorship to remove barriers or silos that impede the work.

Position is required to work closely on behalf of patients with all stakeholder groups across the continuum of care and must be visible across the region and regarded as the Regional Lead. This role requires the ability to lead through influence, as well as formal authority.

Operational Skills: Uses solid care management leadership skills to assure that quality patient care and services are delivered throughout the continuum of care, including program deployment, enhancement, and resource allocation.

• Performs Day to Day Management of Care Management Services and leads Ambulatory Cross Continuum Care Managers, IP Care Managers & Social Workers devoted to Care Management.
  • Assures that care and services are rendered and documented to meet applicable processes and standards.
• Is visible in assigned areas of responsibility on a regular basis to assess and promote culture of service excellence.
• Assures that effective written and oral communication methods and processes are in place involving the Service Line leaders and direct care staff to discuss patient care issues
• Assures the identification, development and retention of employees throughout the Service Line
• Maximizes the clinical and administrative resources to meet budget targets. Leverage resources to have the greatest impact with resources available.
• Uses innovation in achieving and maintaining organizational strategies.
• Continually look for program improvement opportunities and collaborate with system leadership to evolve the program.
• Accountable for stakeholder engagement and satisfaction (patient, employees, and providers).
• Ensures compliance with all regulatory requirements (i.e. IDPH, CMS, JCAHO, OSHA, OIG) and state requirements for all business units within the service line

Care integration Utilizes strong operational skills and knowledge to integrate services within the Organization and across the continuum of care contributing to a seamless delivery of care/products

• Builds exceptional relationships with the stakeholders across the continuum. Demonstrates exceptional expertise in Care Management to garner trust and respect.
  • Establishes effective working relationships with UPC leadership, Home Care, and hospital based leaders
  • Is viewed as an integral member of the care team regardless of site of care
  • Ensures tight integration with PCMH and UPC leadership
• Seeks ongoing feedback from stakeholders. In collaboration with system leader, convenes regional work sessions as needed to improve the program. Ensures local improvements are in alignment with UPH Care Management Model and strategy.
• Serves as a resource across departmental lines for assistance in resolution and/or clarification of issues involving Care Management.
• Coaches and mentors Care Management team members to facilitate patient care across all business units and specialties. Consistently accesses resources needed such as palliative, behavioral health, hospice, medication therapy management, etc.
• Maintains current knowledge about community resources available within the region and communicates to staff. Assures that community partners are integrated into the planning, execution and evaluation of activities as appropriate
• Actively seeks opportunities to contribute expertise in a variety of activities including community involvement (i.e. committees, projects) to assist the Organization to achieve its strategic initiatives

Leadership/staff Development: Demonstrates and trains staff on the knowledge and skills necessary for providing care management within specific sites of care and across the continuum.

• Applies advanced care management skills to coach and mentor the team.
• Is readily available and responsive to team members to ensure timely feedback to patient care questions or concerns.
• Removes barriers that impede care management. Appropriately escalates concerns to executives.
• Demonstrates ability to function independently.
• Collaborates with physician leaders to improve the Care Management program.
• Ensures staff maintains skills required to assess and anticipate patient needs.
• Continually seeks to grow and develop their care management skills and maintains an awareness of the external environment.
• Coach and assist team members with prioritization and delegation.
• Promotes an environment that encourages team feedback and engagement in problem solving.
• Exhibits knowledge in Revenue Cycle Management, Quality Improvement, Patient Experience and building a high performing employee culture.

Service Line Performance & Outcomes - Assures that Service Line outcomes including clinical quality, patient/staff experience, and financial targets are achieved.

• Assure key clinical indicators are identified, appropriate targets are set, and clinical results meet program and/or Organizational targets.
  • Analyzes clinical and financial outcomes to understand performance for aggregate populations, i.e. NextGen, Diabetics, etc.
• Participates in annual forecasting and determining Service Line financial targets
• Plans and advocates for capital needs during the annual budget process
• Reviews dashboards of key targets, identifies variances and trends and develops action plans as needed.
• Uses and encourages innovation in resource utilization, assures fiscally efficient operations
• Monitors outcomes and reviews programs and services to improve performance.
• Develops and regularly reviews succession plans for expected and unexpected vacancies in key Service Line positions

Education:

• Bachelors of Science in Nursing (BSN) or LISW or equivalent education in health care management
• Master's Degree in the field(s) of nursing, healthcare administration, business, or related field desired preferred

Experience:

• 3-5 years of progressive leadership experience in Care Management or Population Health or health care management required

Skills:

Leadership Skills

• The ability to set and maintain high standards of performance in a collegial environment, holding people accountable for achieving deliverables. This individual will be an outcome driven leader
• A results oriented individual with a reputation of doing what it takes to get the job done while ensuring strong interpersonal relationships; puts the interests of the enterprise ahead of personal or departmental interests
• Demonstrates a high sense of urgency and experience operating effectively in a fast-paced environment requiring the skill to handle multiple priorities simultaneously
• The ability to effectively analyze complex issues/problems and lead/influence individuals and groups in developing and implementing successful resolution tactics.

Communication Skills

• Exceptional interpersonal skills
• Exceptional listening and negotiating skills
• Utilizes influence in a complex work environment to achieve goals
• Track record of exceptional verbal and written presentation skills
• Demonstrated ability to address conflict in a timely and constructive manner
• Demonstrates effective communication with multiple stakeholders including executives and providers.
• Approachable and welcomes feedback
• Maintain confidential information