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Director Care Management – Outpatient

Req #: 4999
Category: DIRECTOR/MANAGEMENT LEVEL
Division: Nursing Services
Employment Type: Full Time
Shift: Day
Hours: 8a-5p
Compensation Type: Salaried
Facility: John Peter Smith Hospital
Location: 1500 S. Main Street, Fort Worth

JPS Health Network is a $950 million, tax-supported health care system for Tarrant County in North Texas. Anchored by a 537-bed acute care hospital, the network includes more than 46 community-based clinics, including 20 school-based clinics. John Peter Smith Hospital is home to Tarrant County’s first and only Level 1 Trauma Center, its only psychiatric emergency services site and has the largest family medicine residency program in the nation. Our network employs more than 6,500 people.
Acclaim is our medical practice group and is comprised of a multispecialty medical practice group designed to align clinical providers with a common set of incentives and expectations supporting operational, financial and clinical performance improvement.
For more information, visit www.jpshealthnet.org .
To view all job vacancies, visit www.jpshealthcareers.org or www.teamacclaim.org .

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Description: The Director, Outpatient Care Management provides leadership, and designs, develops, implements and monitors programs and initiatives related to the overall clinical case management of various patient populations of JPS Health Network. This job is responsible for population care management of the JPS patient population through identification of high risk or potentially high risk patients who are patients in the ambulatory setting. The job works closely with sites in the entire network to coordinate care, to educate patients to use the appropriate level of care. The Director will work closely with the patient-centered medical home team and specialty clinics to optimize the team’s achievement and contributing to the reporting of care management, quality, and cost efficiency metrics. Typical Duties:

  1. Directs and evaluates work activities for team members including manager, team leaders, and case management staff. Performs annual performance reviews, develops goals and objectives and identifies training needs for team members. Provides coaching and development counseling. Provides input into the hiring decision and recommendations for team members.
  2. Manages the department assigned budgets. Analyzes patterns of variances and implements strategies to resolve findings.
  3. Develops, implements and oversees policies, procedures and processes to promote evidence – based care management, patient engagement, coordination of care, and reporting on quality, cost of care, and patients’ satisfaction with the care process and outcome.
  4. Collaborates with the team of Community Health Services executives, physicians, and care partners to identify and standardize best-practice, evidence based solutions for disease management, patient education, care coordination and transitions in care for patients.
  5. Develops processes to follow up with PCPs on patient test results, consult reports, and care plan outcomes, and communicates adjustments in plans of care to appropriate team members in the medical home including the patient and family.
  6. Collaborates with contracted vendors and grant coordinators to support clinical operations related to care management, utilization management, disease management and transitional care.
  7. Explores technology support solutions for improved care coordination and use of data to measure the effectiveness of care interventions with high-risk patients.
  8. Designs communication strategies with patients to maximize care opportunities and patient engagement.
  9. Responds to measures of clinical care performance with appropriate use of quality management statistics and process interventions.
  10. Maintains a data base and registries to track patients in care coordination and /or care management programs.
  11. Performs other job related duties as assigned.

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Qualifications:
Qualifications:

    Required Education and Experience:

  • Bachelor’s degree in Nursing or related field from an accredited college or university.
  • 5 plus years of case management experience.
  • 5 plus years supervisory experience.
  • Preferred Education and Experience:

  • Master’s degree in a related field from an accredited college or university.
  • 6 plus years of case management experience.
  • Current certification through the American Case Management Association (ACMA) or Certification through the Case Management Society of America (CMSA).
  • Required Licensure/Certification/Specialized Training:

  • Current licensure by the Board of Nurse Examiners for the State of Texas or proof of reciprocity of licensure between the State of Texas and another state.

Location Address:
1500 S. Main Street
Fort Worth, Texas, 76104
United States