Job details

District Director Clinical Resource Mgmt

Responsible for the operations for Clinical Resource Management Department. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals across the district. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals across the district.Responsible for the operations for Clinical Resource Management Department. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals. Provides oversight to ensure efficient and effective use of resources; appropriate placement of inpatients and transfer of patients from Palomar Health; flow of patients through the continuum of care; support from Social Services for mandatory reporting; ongoing review and improvement of clinical documentation of patient care; and, assistance to patients requiring social services to return to the community. Develops and mentors a high performing team for all areas of responsibility. Ensures financial viability by managing both applicable revenue and expenses with attention to supply cost utilization and a high level of productivity in cost centers under direct control. Coordinates directly with Managed Care Organizations and Palomar Health managed care and contract staff to ensure efficient care and appropriate reimbursement is received. Develops and implements cost saving measures associated with length of stay and appropriate utilization review. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.

Job Requirements

Minimum Education:	Masters Degree in a related field or Masters Degree in progress with an expected completion date within 3 years of hire

Preferred Education:	Not Applicable

Minimum Experience:	2-3 years

Preferred Experience:	3-5 years

Required Certification:	Not Applicable

Preferred Certification:	Certification in specialty area of practice or role

Required License:	Valid Driver's License

Preferred License:	Current CA RN License

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3.3

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3.3

CEO of Palomar Health

Diane Hansen

Approve of CEO

Average salary estimate

$100000 / YEARLY (est.)

min

max

$80000K

$120000K

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What You Should Know About District Director Clinical Resource Mgmt, Palomar Health

As the District Director of Clinical Resource Management at Palomar Health, you'll step into a pivotal role where your leadership will make a real difference in healthcare operations. You'll be responsible for the strategic oversight of crucial functions, including Case Management, Social Services, Utilization Review, and Clinical Documentation Improvement at our acute care hospitals throughout the district. This is more than just a management position; it's your chance to drive Clinical Excellence initiatives that ensure our facilities operate smoothly and our patients receive the best care possible. Your day-to-day responsibilities will include developing high-performing teams, coordinating with Managed Care Organizations, and implementing cost-saving strategies that optimize patient flow through the continuum of care. You’ll be mindful of both operational efficiency and financial viability, looking at ways to manage revenues and expenses effectively. If you have a knack for problem-solving, the ability to mentor and develop a team, and a true passion for enhancing patient outcomes, then this role is definitely for you! With a preference for candidates holding a Master’s degree in a related field and a solid background in clinical resource management, the ideal candidate will thrive in a dynamic environment. Your proficiency with standard office software and your capability to engage with various stakeholders will be crucial to your success. Here at Palomar Health, we’re dedicated to maintaining our mission of providing exceptional healthcare, and we're excited to welcome a new leader who will help us continue this essential work.

Frequently Asked Questions (FAQs) for District Director Clinical Resource Mgmt Role at Palomar Health

What are the key responsibilities of a District Director Clinical Resource Management at Palomar Health?

As a District Director of Clinical Resource Management at Palomar Health, you're responsible for overseeing the operations of the Clinical Resource Management Department. Your key responsibilities include managing Case Management, Social Services, Utilization Review, and Clinical Documentation Improvement across acute care hospitals. Leading initiatives for Clinical Excellence and ensuring the effective use of resources to improve patient outcomes are also crucial aspects of your role.