Director Registered Nurse (RN) - Case Management - $92-121 per hour

Stanford Health Care is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Menlo Park, California.

Job Description & Requirements

• Specialty : Case Management
• Discipline : RN
• Duration : Ongoing
• Shift : days
• Employment Type : Staff

1.0 FTE   Full time   Day - 08 Hour   R   Onsite   10 Case Management Inpatient   Allied Health   PALO ALTO, 1840 Embarcadero, California

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Day - 08 Hour (United States of America)

Why work at Stanford Medicine | Stanford Health Care (SHC)?

Stanford Clinicians are recognized as bold leaders, compassionate healers, educators, and mentors, providing the highest standards of excellence in care while generating long-term impressions that continue to set SHC apart as the best place to work and thrive. We offer a wide array of career advancement opportunities, and access to the latest technologies and healthcare innovations, and boast a workplace culture that encourages personal growth and work-life balance while honoring its commitment to delivering evidence-based and patient-centered care.

We are seeking a results-driven director to further develop the framework for clinical, operational, and leadership practice. Here, your leadership, coaching, and mentoring would further develop our robust, post-acute care community network.

Are you driven by health care innovation, partnerships, and measurable results to improve the continuity of care and lessen readmissions? Then, join us and make SHC your career home.

Our core benefits include medical insurance, dental insurance, vision insurance, an employee assistance program, savings and spending accounts, disability, life and accident insurance, and COBRA. For medical insurance, you have the choice of three generous health plans through Stanford Health Care Alliance, Aetna, or Kaiser Permanente. Each plan includes 100% coverage for preventive care, telemedicine through Teledoc, prescription drug coverage, and behavioral health coverage. Additional incentives exist for healthy choices. And so much more – generous leave & time off, Wellness Program, special programs, educational assistance, and adoption assistance!

This is an onsite Stanford Health Care job.

A Brief Overview

The Director of Post-Acute Care is responsible for leading the development and implementation of a post-acute care strategy and community network designed to support timely and seamless transitions to the appropriate level of care for SHC patients. This position will establish quality and performance standards, clinical workflows, systems, tools, and metrics to achieve organizational goals and value-based care contract outcomes related to post-acute care. the Director facilitates collaborative relationships between the various post-acute venues to ensure strong partnerships, and future interoperability to achieve the highest quality and experience across the SHC care continuum.

Locations

Stanford Health Care (Palo Alto, CA; onsite)

What you will do

Works closely with SHC leaders and post-acute stakeholders to align care coordination activities across the care continuum.

Develops and maintains strong relationships with post-acute care providers, vendors, community agencies, health plans, etc. that support appropriate and necessary care coordination for SHC patients.

Conducts regular meetings with community post-acute partners to review performance and outcomes metrics including admit / denial rates, hospital ED and readmission rates, LOS, CMS quality ratings, etc.)

Collaborates with post-acute partners to identify process improvement initiatives, learning collaboratives and clinical coordination to improve quality of care and care transitions.

Provides leadership in the evaluation and development of agreements such as leased beds, joint ventures, contracted services, reallocation / design of facility space and medical management if deemed appropriate to meet the needs of post-care capacity for SHC patients.

Develops relationships and ensures accountability for post-acute provider participants in the ACO.

Manages complex interdepartmental and interdisciplinary relationships to assure collaboration within post-acute care services.

Incorporates the use of evidence-based practice into post-acute care program development and improvement initiatives.

Maintains license, certification, and continuing education as required.

Performs other duties and attends committees as requested.

Education Qualifications

Master of Science degree in MS, MBA, MPH, Nursing, Healthcare Administration, or a work-related discipline / field from an accredited college or university

Bachelor's degree in nursing preferred

Experience Qualifications

Five (5) to ten (10) years of clinical experience

Five (5) years of leadership and management experience within an acute and post-acute healthcare environment

Experience leading large-scale change efforts and / or academic medicine

Experience managing projects relevant to the delivery of mission-critical organizational programs and services

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

Required Knowledge, Skills and Abilities

Ability to communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, conflict resolution, consulting, and advising, as well as flawless written communication

Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation

Ability to plan, organize, motivate, mentor, direct, and evaluate the work of others

Ability to resolve conflicts and / or negotiate with others to achieve positive results; establish and maintain effective interpersonal relationships

Ability to teach, coach as well as provide leadership, and influence others

Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients, and their families

Ability to develop project measures of success, analyze progress and evaluate outcomes.

Ability to cultivate relationships in the post-acute space, including community agencies

Ability to plan, establish, direct, and execute the strategy to develop a network of aligned post-acute providers within a complex health system.

Knowledge of regulatory requirements and value-based reimbursement models.

Knowledge of Post-acute levels of care such as Home Health, Hospice, AIM, Palliative Care, SNF, LTAC, B&C, Sub-acute, Acute rehab

Knowledge of coding and DRG assignment process preferred

Knowledge of admission criteria for all levels of care and denials management

Knowledge of case management principles, processes, and their practical application preferred

Knowledge of clinical documentation requirements

Knowledge of clinical, quality, and administrative facets of the healthcare industry

Knowledge of principles of process improvement methodology, business and management strategic planning, leadership development, and education techniques

Licenses and Certifications

One of the following active certifications required :

CA - RN (Registered Nurse) license, or

Physical Therapist Licensed Applicant – PTLA, or

Occupational Therapy – AOTA, or

MSW - Master of Social Work, or

LCSW - Licensed Clinical Social Worker

ACM preferred, or

CCM - Certified Case Manager preferred

Physical Demands and Work Conditions

Blood Borne Pathogens

Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks

These principles apply to ALL employees :

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective :

Know Me : Anticipate my needs and status to deliver effective care

Show Me the Way : Guide and prompt my actions to arrive at better outcomes and better health

Coordinate for Me : Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) 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, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and / or expression, 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.

Base Pay Scale : Generally starting at $91.60 - $121.38 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Stanford Health Care Job ID #R2443916. Posted job title : Director, Post-Acute Care Community Network - Case Management Department - Full-Time (1.0 Fte), Days

About Stanford Health Care

Stanford Health Care, along with Stanford Health Care Tri-Valley and Stanford Medicine Partners, is part of the adult health care delivery system of Stanford Medicine. Combining clinical care, research, and education to advance the understanding and practice of medicine, we provide compassionate, coordinated care personalized for the unique needs of every patient.

We are proud to provide patients with the very best in diagnosis and treatment. And we are pioneering leading-edge therapies that will change the way health care is delivered tomorrow.

Stanford Medicine is an ecosystem comprising the School of Medicine and the pediatric and adult health care delivery systems. Together, we harness the full potential of biomedicine through collaborative research, education, and clinical care for patients of all ages. Precision Health is at the core of what we do, preventing disease before it strikes and treating it decisively when it does. Together, uniting our diverse perspectives and collective expertise for the greater good, we are Stanford Medicine

Benefits