Assistant Director, Care Connections Hub - 134379

UC San Diego Population Health Services has four separate areas that employ Case Managers: Utilization Management (UM); UCSD at Home: Complex Case Management; Care Connections Hub: Transitional Care Management; and Disease Management/ Digital Health. The Case Manager coordinates with physicians, nurses, social workers and other healthcare providers to expedite medically appropriate cost-effective care for patients, along with resources to address psycho-social and physical resources as appropriate. The CM applies clinical expertise and assesses patient's medical, social and physical needs to create shared patients' goals and advocate for medically necessary care and resources.The Assistant Director, Care Connections Hub: Transitions of Care is an experienced RN who is responsible for developing standard work for RN and Social Work staff using evidenced based tools to provide telephonic outreach to patients who are discharging from a hospital or skilled nursing facility setting. The goal is to drive appropriate interventions and support patients post discharge to mitigate avoidable readmissions.

Key Responsibilities:

* Manages the staff responsible for case management to include all or most of the following: adherence to RN practice, standard work and accurate documentation.

* Implements operational processes that contribute to effective and efficient workflow coordination among physicians, clinicians, and other patient care and support staff, from across the medical center.

* Works with information technology and team members to promote and support care coordination post discharge in organization-wide initiatives, including electronic medical records, and business intelligence.

* Evaluates effectiveness of interventions based on analysis of Line of Duty (LOD) care, readmissions, staff and patient satisfaction, and financial indicators.

* Works with members of the interdisciplinary team to support the continuous improvement of expedited patient care delivery. Recommends quality improvement measures and plans.

* Participates on organization wide committees to facilitate integration of the case management into patient care delivery models in ambulatory setting.

* Works with colleagues across PHSO, ambulatory clinics and medical center to ensure compliance with licensure requirements and evidenced based tools within the clinical services environment, including DMHC, JCAHO, CMS, and State of California.

* Responsible for employee recruitment, performance evaluation and management, and staff development and training.

* Develops a strong culture of teamwork to ensure the quality of daily operations, effective interdepartmental collaborations, and the timely achievement of objectives.

* Keeps abreast of best practice research to identify and propose opportunities to improve both patient quality of care and the financial outcomes for the medical center.

* Other duties as assigned.

• Bachelor's in nursing or other related healthcare profession, or related area, and a minimum of seven years of relevant nursing experience, or equivalent combination of experience / training.

• Licensed Registered Nurse in the State of California, or commitment to obtain prior to start date.

• Experience and proven success in nursing management skills.

• Substantive experience in hospital, emergency room and telephonic nursing.

• Professional experience demonstrating a strong understanding of population health and community resources.

• Master's degree in health or leadership related field.

• EPIC experience and/or certification.

• MCG

• Progressive leadership experience.

• Currently Green belt (or higher) trained in lean process improvement.

• Strong technology and communication background.

• Current UC San Diego Health employee.

• Employment is subject to a criminal background check and pre-employment physical.

• Must be able to work various hours and locations based on business needs.