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UnityPoint Health Regional Director Care Management - Fort Dodge in Fort Dodge, Iowa

This position will office at our Fort Dodge Trinity Medical Center in Fort Dodge, Iowa.

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

Regional Responsibilities: Leadership and management support of our Fort Dodge Regional teams

  • Responsible for creating a culture of innovation, learning, teamwork and professional practice, consistent with the mission, vision and values of Trinity Regional Medical Center.

  • Manages Care Coordination team (social workers, chaplains, secretary) as well as all members of the hospitalist medicine and intensivist department.

  • Provide leadership within the hospitalist medicine team and care coordination to ensure effective, efficient operations, optimizing performance and continually improving quality of care in a vastly changing health care environment.

  • Facilitates services over the continuum to meet best practice quality metrics and goals.

  • Demonstrates knowledge of DNV Standards and CMS/Conditions of Participation.

  • Establish effective mechanisms of communication with the hospitalist team, care coordination team, administration, and other hospital team members.

  • Responsible for oversight of the day to day management of hospitalists and care coordination team including, but not limited to, the coordination of the programs, regulatory and policy compliance, establishment of work schedules, review of staffing needs and effectiveness, preparing and submitting budget reports, service excellence in patient relations, and team member’s satisfaction.

  • Responsible for the oversight, including but not limited to, the scheduling, facilitation and follow-up completion associated with routine meetings as needed by hospitalists and care coordination team members.

  • Directs implementation of policies, procedures, and processes to ensure safety, quality, service excellence, compliance, and financially responsible hospitalist and care coordination teams.

  • Demonstrates sound fiscal management of department operations through comprehensive budgetary planning/oversight, variance analysis/justification, and monitoring of financial performance/productivity.

  • Prepares the annual budget.

  • Fosters a culture of accountability through an ongoing collaborative relationship within department team members and other hospital staff to streamline care processes, ensure early discharge planning, collect data, and disseminate information.

  • Demonstrates ability to respond positively to changing circumstances, to provide leadership, guidance, as well as conflict resolution and effectively work with various members of the interdisciplinary team.

  • Responsible for the interviewing, hiring process, coordination of orientation, and training programs for new hospitalist and care coordination team members.

  • Serves as a member of committees impacting care over them and the patients served.

  • Responsible for conducting and submitting performance appraisals to team members.

  • Performs coaching, education, and supportive direction to facilitate team members success and compliance with regulation, policy, and position expectations.

  • Facilitates staff resources to lead interdisciplinary team meetings.

  • Works collaboratively with Human Resources and hospital administration to facilitate and perform formal disciplinary action, suspension, and termination processes as applicable.

  • Provides oversight to Performance Improvement program, risk management and compliance activities as it pertains to hospitalist services.

  • Communicates routinely with the team members to review safety, quality, service, compliance, productivity, financial, or other applicable issues and opportunities for improvement to ensure optimal outcomes for the teams and departments.

  • Contributes to the achievement of targeted patient satisfaction as established on an annual basis.

  • Facilitates group practice that promotes broad-based consistency of practice throughout the organization, flexibility for coverage as appropriate and for consultation and support.

  • Demonstrates positive guest relation skills with both internal and external customers.

  • Adheres to hospital policies and procedures.

Education:

  • Bachelors of Science in Nursing (BSN) or LISW or equivalent education in health care management

Experience:

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

License(s)/Certification(s):

  • Discipline licensure as required

Knowledge/Skills/Abilities:

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

Requisition ID: 2021-93470

Street: 800 Kenyon Rd

Name: 9010 Administration

FTE (Numeric Only; Ex. 0.01): 1.0

FLSA Status: Exempt

Scheduled Hours/Shift: Days, Monday - Friday

External Company Name: UnityPoint Health

External Company URL: http://www.unitypoint.org

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