Job Information
UNC Health Care Assistant Director Care Management - UNC Care Management Administration in Chapel Hill, North Carolina
Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Looking for a dynamic, seasoned RN with at least seven (7) years of Utilization/Case Management experience and at least two (2) years of healthcare management experience to help lead the overall operations of UNCH Care Management Department. The successful candidate will be innovative and forward thinking, as we lead the way in Care Management. This role is responsible for the daily operations of the Utilization Management and Clinical Denials Management functions of the department as well as collaborating with physicians, hospital departments, and health care system leaders in driving patient care progression and revenue protection. The ideal candidate will also be able to work closely with our Physician Advisor team to utilize transformative knowledge and skills as we approach complex payor communications and appeals work. This position is fully onsite at the UNC Medical Center campus and has responsibilities for other UNC hospital campus functions.
Summary:
Responsible for assisting the Regional Director of Clinical Care Management in overall operations of Care Management Department functions through daily and long-term oversight of department activities at UNC Hospitals. Provides management direction to designated department leadership and staff members. Assists Regional Director in ensuring that the department achieves its goals and objectives by engaging internal and external stakeholders in care coordination and outcomes management processes. Accountable for departmental Personnel Management, Fiscal Management, Communication, Customer Service, Goals/Outcomes Management, and Quality/Process Improvement Initiatives to ensure high level of quality consistent with organizational standards. Reports to the Regional Director of Care Management.
Responsibilities:
Communication - Provides resources and support for direct reports in communicating and clarifying roles/responsibilities. Develops and maintains positive relationships with key individuals internally and externally to enhance overall Care Management Departmental processes.
Customer Service - Assists Regional Director in establishing systems, processes, people, and education that will improve internal and external customer satisfaction and positive results for the department and institution. Serves as a role model and leads direct reports in supporting team, departmental, and institutional expectations in customer service excellence.
Fiscal Management - Collaborates with Regional Director in preparation, monitoring, and discussing department budget with senior leadership. Oversight of Patient Assistance Funds and Flex Funding activities. Monitors approved budget versus actual expenditures to reconcile as needed to achieve cost effective use of resources. Tracking and trending of departmental productivity statistics.
Goals/Outcomes Management - Collaborates with Regional Director to establish goals for the department that are congruent with hospital goals. Reviews overall department performance to ensure staff are meeting or exceeding target outcome goals. Reconciles the needs of the Managers and institution relative to department initiatives. Determines and oversees successful implementation of optimum methods to operationalize system-identified goals and objectives. Works closely with medical staff leadership and other staff to ensure appropriate medical staff involvement in care management efforts. Assists Regional Director in ensuring the collecting, analyzing, evaluating, measuring, and presenting of care management operational data. Uses data to take corrective action as needed to benefit the department and/or institution outcomes.
Personnel Management - Oversees personnel functions for designated Care Management Department team(s). Provides leadership and mentoring to direct reports for various staffing issues, i.e. staff qualifications, competencies, staffing levels (hiring/firing), workloads and productivity, staff development, regulatory compliance, continuing education, and performance appraisal.
Quality & Compliance - Leads department specific quality improvement initiatives to ensure compliance with hospital regulatory requirements. Develops appropriate departmental policies and procedures oversees departmental auditing requirements. Ensures best practices for various departmental roles.
Other Information
Other information:
Education Requirements:
● Master's degree in Nursing, Master's degree in Social Work (MSW), or Master's degree in related field.
Licensure/Certification Requirements:
● If hired after February 1, 2024, must have valid NC RN license or LCSW/LCSW-A to practice in the state of NC. ACM or CCM certification required within 2 years of hire.
Professional Experience Requirements:
● Seven (7) years of experience in Care Management. Two (2) years of healthcare management experience. Will consider relevant combination of management and leadership experience.
Knowledge/Skills/and Abilities Requirements:
● Knowledge of TJC, federal and state standards and health care operations Strong communication, software, project management, leadership, organizational, computer and analytical skills Ability to build and maintain collaborative relationships at all levels Critical thinking and problem resolution skills
Job Details
Legal Employer: STATE
Entity: UNC Medical Center
Organization Unit: UNCH Care Mgmt Administration
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $46.27 - $57.84 per hour (Minimum to Mid-Point)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Variable
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
This is a State position employed by UNC Health Care System.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.