Care at Home Director

Job Summary :

The Director of Care at Home is responsible for leading and overseeing the delivery of high-quality, cost-effective, and patient-centered care at home, DME, and transportation services for members of the health plan.

The Director of Care at Home will collaborate with other departments, providers, and community partners to ensure that members receive appropriate and timely care at home that meets their needs and preferences.

The Director of Care at Home will be responsible for provision of care coordination, case management, utilization management, and quality improvement for members receiving care at home, DME, and transportation services.

The Director of Care at Home will lead efforts in strategic planning, budgeting, and performance improvement for areas of responsibility.

Essential Responsibilities :

• Provide leadership, direction, and support for care at home team, DME, and transportation, ensuring that they have the necessary resources, training, and guidance to perform their duties effectively and efficiently.
• Develop and implement policies, procedures, and standards for care at home, DME, and transportation programs, ensuring compliance with federal, state, and local regulations, accreditation, and licensure requirements, and Kaiser Permanentes policies and procedures.
• Monitor and evaluate the quality, outcomes, and satisfaction of services, using data-driven and evidence-based approaches to identify and implement best practices, opportunities for improvement, and corrective actions.
• Collaborate with other departments, such as utilization management, quality management, finance, pharmacy, and information technology, to ensure alignment and integration of the care at home program with the overall goals and objectives of the health plan.
• Establish and maintain effective relationships with external providers, vendors, and community partners, negotiating contracts, resolving issues, and ensuring coordination and continuity of care for members.
• Participate in the development and management of the budget for areas of responsibility, ensuring fiscal responsibility and accountability.
• Represent areas of responsibility in internal and external meetings, committees, and forums, providing input, feedback, and advocacy for the needs and interests of the members and the programs.
• Stay abreast of the latest trends, innovations, and best practices, incorporating new knowledge and technology into the programs of responsibility as appropriate.
• Perform other duties as assigned.

Basic Qualifications :

Experience

• Minimum ten (10) years of experience in health care management.
• Minimum five (5) years of progressive leadership experience in health care, preferably in a managed care setting.

Education

• Masters degree in business administration, health care administration, operations research, public health administration, nursing or six (6) years of experience in a directly related field.
• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

Registered Professional Nurse License (Georgia) required at hire

Additional Requirements :

• Demonstrated knowledge and skills in care at home operations, regulations, standards, and best practices.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent communication, presentation, and interpersonal skills.
• Ability to lead, motivate, and develop a diverse and high-performing team.
• Ability to collaborate and partner with internal and external stakeholders at all levels.
• Ability to manage multiple projects, priorities, and deadlines in a fast-paced and dynamic environment.
• Proficient in Microsoft Office applications and electronic health records.
• Ability to travel within the Region as needed.
• Must be able to work in a Labor / Management Partnership environment.

Preferred Qualifications :

• Experience in a high-level administrative capacity within multi-faceted health care system and multi-service provider setting preferred.
• Demonstrated understanding of and competence in serving culturally diverse populations preferred.
• Demonstrated understanding of utilization management concepts, practices, and criteria preferred.
• Home health agency leadership experience.
26 days ago