POSITION DESCRIPTION:
The Director of Integrated Case Management for Population Health is accountable for developing and leading a team of professionals responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's comprehensive health care needs though communication and available resources to promote patient safety, quality of care and cost-effective outcomes.
The Director is responsible for analyzing population health utilization, biometric and financial data to identify opportunities for improvement within a given population, service or department. The output of the analysis is used to develop, implement and enhance case management services across the System.
The Director is responsible for development, coordination and maintenance of services that improve the care delivery to and health of individuals through innovative care models that span the continuum of care. Implements strategies and systems that ensure synchronization of care coordination services across the enterprise, resulting in consistent and seamless experiences for patients and efficient, integrated processes and outcomes for providers and other stakeholders across the System.
PRINCIPLE DUTIES AND RESPONSIBILITIES
Conducts a systematic review of the organization's functional capacity to implement interventions for at-risk populations
Fosters data driven decision making by developing and maintaining a system capable of delivering the right data to the right person at the right time to support clinical, operational and financial decision-making
Implements process improvement methodologies from opportunity identification through execution and evaluation in accordance with strategic plans and organizational goals for Population Health Management
Facilitates large population health / integrated case management redesign projects, assisting senior leadership in maximizing resources and efficiencies
Ensures effective utilization management interventions by identifying opportunities to enhance care coordination, transitions of care and utilization of services
Provides consulting advice to top administrative and physician leadership
Develops and maintains cooperative affiliations with health care agencies and performs management activities in conjunction with patient care providers
Documents current systems and operations. Analyzes systems, procedures, and operations and identifies opportunities for improvement
Conducts a comprehensive analysis to assess the impact of case management interventions on total cost of care, safety, quality and patient experience
Prepares written and verbal presentations of findings, conclusions, and recommendations
Identifies need for and guides the development of systems and structures that promote identification of aligned activities and sustainable results
Keeps and maintains information of program progress, particularly as related to needed changes in resources of product design
Performs all operational, financial and administrative management activities pertinent to the role and scope of responsibilities
EDUCATION AND EXPERIENCE:
Bachelor's degree in nursing or related professional field (i.e. social work, counseling, health education, etc.) or a Master's degree in Nursing or Social Work
Five (5) years of relevant experience with specific emphasis in case management, disease management, health coaching or home health care
Demonstrated experience in a complex leadership role
Advanced knowledge, understanding of, and demonstrated experience applying population health management concepts
Expert analytical/technical/facilitative and process improvement skills and knowledge
In-depth understanding of human relations, group dynamics, change theory, and improvement methodologies
Expertise in management principles, techniques and problem-solving methodologies
Work directly with managers, supervisors, registered nurses, therapists and utilization support
Work strategically to coordinate departmental activities to achieve objectives and align departmental goals with utilization operations
Collaborate and work closely with utilization management to evaluate, select and implement process improvements designed to provide high-quality utilization management services
Skilled at managing large, complex assignments simultaneously with potentially conflicting priorities and deadlines
Adept at consulting and working collaboratively with a variety of individuals such as executive leaders and front-line staff.
Expert leadership/mentoring skills
Professional interpersonal skills: critical ability to communicate effectively with all levels of management and staff across the System and outside the organization with employed and partner (non-employed) physicians
Skillful in learning and applying new population health management tactics and methodologies aimed toward improving health outcomes for patients
Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to all staff. Able to represent HFHS at National conferences, meetings and events
Proficient in Microsoft Office products: Excel, PowerPoint, and Word
CERTIFICATIONS AND LICENSURES REQUIRED:
Registered Nurse or Social Work license (State of Michigan)
Certification in Case Management (CCM) from the Commission for Case Management Certification (CCMC)
For current employees, effective date 2/1/2020, certification is required by February 2021
For new hires, certification must be obtained within 1-year from date of hire
Additional Information
Organization: Henry Ford Hospital - Detroit Main Campus
Department: Administration and Support
Additional DetailsThis posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a $6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s major academic medical centers, receiving between $90-$100 million in annual research funding and remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical education and training, the health system has trained nearly 40% of physicians currently practicing in the state and also provides education and training for other health professionals including nurses, pharmacists, radiology and respiratory technicians. visitHenryFord.com.Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or making the employee enrollment selection experience easier, it's all about choice. Henry Ford Health has a new approach for its employee benefits program - My Choice Rewards. My Choice Rewards is a program as diverse as the people it serves. There are dozens of options for all of our employees including compensation, benefits, work/life balance and learning - options that enhance your career and add value to your personal life. As an employee you are provided access to Retirement Programs, an Employee Assistance Program (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.