Director - Care Management, Administration Patient and Family Services

At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job ID: REF562X

JOB SUMMARY

This paragraph summarizes the general nature, level and purpose of the job.

The Director of Care Management provides leadership and management of clinical care coordination, utilization management, care progression, discharge planning, and psychosocial assessment and support functions. The Director has responsibility for the systems, processes, and outcomes of clinical care teams and programs designed to address clinical, psychosocial, and financial needs of patients and families.. The Director not only represents areas under his/her direct responsibility but provides leadership of organization-wide issues such as improved patient care, clinical effectiveness, cost reduction, patient and staff satisfaction, patient throughput, and patient flow. In addition, the Director provides leadership of and active participation in short- and long-term improvement initiatives as requested by the SMCH organization. The Director of Care Management is a key driver of transformation within the organization.

ESSENTIAL FUNCTIONS

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.

• Continuously assesses and improves department's performance based on "customer" needs; directs and participates in improving performance and services which benefit staff, patients and other customers. Maintains appropriate quality improvement and control programs in response to staff and patient feedback, internal standards of care and external requirements. Evaluates and implements changes based on data related to productivity, quality and outcomes for departmental projects and programs.
• Champions a culture of innovation and continuous improvement within the department; leads change initiatives to enhance care delivery and patient outcomes; develops and implements strategic plans that align with the organization’s mission, emphasizing innovative practices.
• Ensures seamless coordination of care across departments, services, and facilities through innovative solutions; guides team members in addressing complex and escalated cases by utilizing multidisciplinary and cutting-edge methodologies.
• Coordinates and integrates services within department and with other departments by continually collaborating with other managers and physicians. Functions as the primary Stanford Medicine Children's Health (SMCH) liaison to internal and external customers, including departments, service lines, physicians, medical groups, health plans, and customers.
• Develops and implements policies and procedures that guide and support the provision of services; ensures that policies and procedures are compatible with the function and goals of SMCH and which meet the external regulatory and statutory requirements.
• Develops and maintains an effective system of information, records and reports for assigned department(s) utilizing appropriate manual or electronic systems. Implements and maintains information systems solutions to maintain accurate, adequate, and accessible data. Uses data analytics to identify areas for improvement and apply innovative solutions.
• Ensures compliance with applicable standards and requirements of external professional, regulatory and accrediting agencies/bodies for care management, discharge planning, and continuum of care through policy and procedure development, implementation, and monitoring.
• Integrates department's services with the hospital's primary functions by supporting organizational mission, priorities and goals, and by delivering optimal quality health care services.
• Leads and manages hospital-wide projects, initiatives, task forces, and committees. Maintains an openness to change and fosters that attitude with peers, staff, physicians, and committee members. Maintains a focus on both the operational details and larger strategic vision in order to effectively move toward completion and positive outcomes. Facilitates inter-departmental change initiatives. Communicates change initiatives effectively to facilitate buy-in from key stakeholders and involved staff.
• Provides leadership for and participates in Stanford Medicine Children's Health's program planning, task forces, projects, and committees. Provides expertise and direction for complex problem solving.
• Efficiently allocates resources in innovative ways to meet evolving patient care needs. Has overall responsibility for selection, orientation, coaching, development, and evaluation for department personnel. Effectively determines the qualifications and competence of departmental staff who provide patient care services and who are not licensed independent practitioners, documents initial and ongoing competence of staff. Ensures that there are adequate ongoing educational programs and training opportunities for all staff in area of responsibility, including orientation of new team members and relevant in-service education sessions.
• Recommends space and other resources needed by the department to meet patient and staff needs. Recommends and participates in selecting outside sources for needed services. Responsible for all aspects of fiscal operations for the department, including forecasting, projecting and monitoring the operating and capital budgets and negotiating departmental recoveries.

MINIMUM QUALIFICATIONS

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Bachelor of Science in Nursing degree from an accredited college or university.

Experience: Broad and extensive and progressively responsible directly related work experience in clinical, administrative and managerial positions.

Licensure/Certification:

• (RN) - Registered Nurse license from the State of California, Board of Registered Nursing.

KNOWLEDGE

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification.

• Ability to communicate effectively, demonstrating excellent verbal and written communication skills.
• Ability to design, develop and administer programs
• Ability to: establish the goals, vision, and overall direction of a department; create and implement departmental standards, systems, staffing plan and processes; analyze issues and create and effective plan to address them; critically and comprehensively evaluate the department's outcomes; identify, collect and analyze data related to the internal and external environment as well as departmental functioning; and, develop and educate staff; communicate effectively, both orally and in writing; prepare and analyze general, statistical, and technical reports; establish priorities, meet deadlines, and develop and manage the department's productivity standard in the management of assigned work; form and maintain positive and collaborative relationships with members of the executive team, hospital staff, and others; problem solve in a proactive, creative manner, using sound judgment based on factual information and clinical knowledge;
• Knowledge of managed care and commercial insurance, MediCal, Medicare, CCS, and other third-party reimbursement.
• Knowledge of pediatric reimbursement models preferable, but not mandatory.
• Knowledge of principles and practices of case management, care progression, discharge planning, utilization management, and psychosocial assessment and support functions.
• Knowledge of principles and practices of organization, administration, fiscal and personnel management.

PHYSICAL REQUIREMENTS

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Pay Range
Compensation is based on the level and requirements of the role.
Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.
Typically, new team members join at the minimum to mid salary range.
Minimum to Midpoint Range (Hourly): $85.32 to $116.67

Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.