Director Care Coordination

Nuvance Health - Norwalk, CT

Job Title: Director Care Coordination

Position: Director of Care Coordination

Job Type: Full-Time

Pay: $49.76 - $92.40 Hourly

Shift: Day 8, 8 AM - 4:30 PM

Work Type: On-Site

Location

Address:

City: Norwalk

State: CT

ZIP Code:

Job Responsibilities

Provides direct management to Care Coordination Staff.
Develops program philosophy and operational goals consistent with the Organization’s Mission and Strategic Plan.
Ensures program compliance with Joint Commission, State and Federal Regulations relative to Discharge Planning, Utilization Management and Continuum of Care.
Creates and fosters positive customer relationships with patients, physicians, healthcare agencies and the Network.
Supports effective Customer Service Networks in collaboration with the Director of Transition.
Identifies opportunities for growth.
Develops and implements new services and/or programs.
Interfaces and coordinates services with Admission, Finance, Managed Care, Medical Records, Home Care, Rehabilitative and Risk Management.
Ensures provisions of a seamless continuum of care.
Establishes and coordinates communication with all Utilization Regulatory Agencies to address Utilization Management Issues and Denials.
Oversees appeals, at the first level of appeal as appropriate, in an effort to maximize reimbursement.
Reviews and edits Managed Care Contract Language relating to Utilization Management Issues.
Ensures severity of illness and intensity of service criteria evaluations are completed on all patients to achieve efficiency, ensure cost-effective utilization of Hospital Resources and optimize financial performance.
Collaborates with UM Medical Director and Vice President of Medicine.
Develops and monitors Department Budget to achieve efficiency, cost containment and optimal financial performance and productivity.
Fulfills all compliance responsibilities related to the position.
Performs other duties as assigned.

Required Skills

Core Skills

Bachelor's degree in Nursing or MSW
Minimum of five years job-related experience
Management experience
Knowledge of community resources and financial assistance programs
Knowledge and/or experience in managed care plans
Excellent communication skills
Ability to collaborate with multidisciplinary groups
Problem-solving skills
Understanding of healthcare industry and government regulations
Strategic planning skills

Preferred Skills

Master's degree in nursing or health management
Registered Nurse with management experience

Requirements

Experience: Minimum of five years job-related experience

Education: Bachelor's Level Degree

License & Certification:

Not specified

Schedule:

Not specified

COVID-19 Requirements: Not Specified

Benefits

Not specified

Supplemental Pay

$30K SIGN ON BONUS - FOR ELIGIBLE EXTERNAL CANDIDATES

Special Notes

EOE, including disability/vets.
Will endeavor to make reasonable accommodation to physical or mental limitations of qualified applicants with disabilities unless it imposes undue hardship.