The Vice President, System Care Management, reports to the Senior Vice President, Transitions and Post-Acute Care, and is responsible for leadership and oversight of Care Management functions across Harris Health System. This role will serve as strategic change activator in care management, guiding the efforts of the Administrative Directors, and will provide leadership for the multidisciplinary inpatient, utilization review, ambulatory, community-based, and outsourced care management teams, including nurse case managers, utilization review nurses, social workers, community health workers, and care management coordinators.
The responsibilities of this role include, but are not limited to: developing a Care Management strategic plan and supporting Harris Health System's efforts to become a high reliability organization, including the inpatient, utilization review, ambulatory and outsourced platforms; ensuring consistency of policies, procedures, and practice; monitoring compliance with regulations and ensuring consistent application of regulatory changes at all entities; monitoring key performance metrics that support the practice of Care Management; supporting the triple aim, including improving patient outcomes and satisfaction; and working collaboratively with Harris Health System's inpatient, utilization review, ambulatory, and outsourced services to create an integrated comprehensive care management infrastructure that ensures appropriate utilization and seamless transitions of care. The role is responsible for developing and managing the organization's Care Management program and ensuring consistent understanding and application. This role establishes clear educational goals and a training plan for Care Management and works with the Director, Care Management Education and Coaching, to implement. The position establishes the competencies required for each position in Care Management and a standardized process for evaluating the competencies. This role collaborates with system- and community-wide stakeholders to ensure the Care Management program is aligned with the organizations strategic plan. This role will guide innovative care management efforts to ensure care management practices are competitive with peer organizations.
Minimum Qualifications Education/Degrees: Graduation from an accredited School of Nursing with a Bachelor's degree in Nursing and Master's degree in Nursing or related field (Healthcare Administration or Business Administration) required.
License & Certification: Licensed to practice nursing in the State of Texas required. Accredited Case Manager certification (ACM or CCM) to be completed within two (2) years if not held at the time of appointment.
Fifteen (15) years of experience in a healthcare environment required.
Medical/Surgical/ICU with hospital leadership experience in a complex health system managing multiple departments or facilities preferred.
Specific experience in care or case management in acute care and ambulatory settings to include care coordination, utilization review, utilization management, transition planning, and social work.
Exceptional leadership, communication, relationship building, and public speaking skills as well as a functional knowledge of the CMS Conditions of Participation, Joint Commission standards, and Case Management Standards of Practice and Scope of Services is required. Experience in a safety net and/or academic healthcare system is preferred.
Management Experience: Ten (10) years of leadership or supervisory experience in complex health systems required. Management of multiple departments or facilities preferred.
Communication Skills: Above Average Verbal (Heavy Public Contact), Exceptional Verbal (Public Speaking), Writing - Correspondence/Reports
Proficiencies: Personal Compute, MS Word, MS Excel
Knowledge/Skills/Abilities: Analytical, Mathematics, Medical Terms, Research, Statistical
Work Schedule: Flexible
Other Requirements: a. Technical Skill: Perform his/her job demonstrating technical ability, understanding of job expectations, and compliance with organizational policies and procedures. Ability to meet or exceed annual goals set for the Harris Health System. b. Teamwork: Participate as a member of the System sharing mutual goals and a common mission. Will demonstrate respect and cooperative relationships in fulfilling the goals and mission of Harris Health and this position. c. Communication: Demonstrate good interpersonal skills with all whom the incumbent interacts including hospital staff, visitors, and most importantly, patients and their families. All communications, written and verbal, should demonstrate a commitment to customer service and excellence. Incumbent must effectively send, receive, and respond to information ensuring a high level of patient care and service. d. Initiative: Commit to and perform quality work contributing to quality patient care. Assume responsibility and accountability for his/her actions. Meet the challenges of a changing environment and is timely in meeting his/her responsibilities. Strive to provide excellent customer service. Value accomplishments and show enthusiasm and pride in the clinic and hospital. Demonstrate a self-directed work effort that confirms the ability to recognize personal strengths and weaknesses. Is expected to develop goals for professional growth and strive to achieve those goals. e. Customer Service: Demonstrate a commitment to courteous, sincere and sensitive customer service. Will present a positive and caring attitude in all interactions with patients, visitors, staff and physicians. Is patient, tolerant and accepting of diversity. Present a positive image of himself/herself and of Harris Health in all personal and telephone interactions. f. Quality Improvement: Demonstrate a commitment to quality and excellence. Problems are solved through critical evaluation of data-based information and continuous improvement efforts that lead to effective quality-based outcomes. Is expected to be able to accurately identify and diagnose an issue, identify alternatives, implement a plan, and evaluate and communicate results.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.