Director, Care Management, Health Plan

Job Description

Job Description

Careers With Purpose

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Facility : GSS National Campus

Location : Sioux Falls, SD

Address : 4800 W 57th St, Sioux Falls, SD 57108, USA

Shift : 8 Hours - Day Shifts

Job Schedule : Full time

Weekly Hours : 40.00

Job Summary

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.

Qualifications

Bachelor’s degree in Nursing is required. Master’s degree in Nursing or related area is preferred. 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).

Previous experience in case management is required. Management, leadership, Healthcare Effectiveness Data and Information Set (HEDIS), and accreditation is preferred. Minimum of 5 years nursing experience is required.

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) is required. 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.

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work / life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https : / / sanfordcareers.com / benefits .

Sanford is an EEO / AA Employer M / F / Disability / Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number : R-0234456

Job Function : Health Plan

Featured : NoPandoLogic. Keywords : Clinical Services Director, Location : Sioux Falls, SD - 57198 , PL : 600447250