This positionprovidesleadership for the development, engagement, management, performance and ongoing improvements to their assigned teams at M Health Fairview.Responsibilities includestaff withinAcute Care Hospitals, including but not limited to Clinical Social Workers and RN Care Managers.This individual plays an integral role in enhancing clinical integration through operationalizing care management strategy, goals and outcomes across assigned acute care responsibilities by building relationships and collaborating to achieve standardized and evidenced based practices that promote quality care and services to patients.Accountable for daily throughput of patients through planning, organizing, supervising, monitoring and coordinating the efforts of the team utilizing the daily engagement system and lean principles.
Facilitates and achieves financial outcomes through effect and efficient staffing, scheduling, consistent team performance through quality services, resource utilization and management of Care Management teams.
Participates in patient-centereddevelopment of high performing care management department collaborating with all disciplinesincluding community and payerswith focus on tangible outcomes related to improved quality, patient, provider, staff satisfaction, and decreased costs.Oversees, the facilitation of exceptional care transitions across the patient continuum with positive contribution to the overall patient experience.Responsibility for hospital utilization performance improvement and operations management inpatient Acute Care Hospitals to promote effective utilization of hospital resources, appropriate reimbursement for services rendered, support efficient patient throughput and ensure compliance with all state and federal regulations related to care management and utilization services.Manages the daily operations of care management to meet department objectives ofthroughput,determining medical necessity(admissions, discharge, observation and post procedure care),coordinationof appropriate plans of care, discharge planning, documentation, referrals, and care facilitation across continuum.Actively participates inidentifying,creating and implementing improvements to achieve clinical, satisfaction,efficiencyand operationaloutcomes.Proactive utilization management.Directs department human resources ensuring proper utilization of human resources and positive employee relations. Set performance standards aligned with commitment to growth and development, reviews performance,and providescoaching, feedback and meaningful recognition on job performance on an ongoing and timely basis.
Develops othersso they becomewellversedin lean management and performance improvement methods through knowledge transfer and adoption of lean thinking in strategydeployment and daily engagement system.Provides leadership to foster aculture of improvement, efficiency and innovative thinking.Manages data, maintains knowledge of, and complies with all relevant laws, regulation policies, procedures and key performance indicators to evolve care management services.
Organization Expectations, as applicable:
Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served
Partners with patient care giver in care/decision making.
Communicates in a respective manner.
Ensures a safe, secure environment.
Individualizes plan of care to meet patient needs.
Modifies clinical interventions based on population served.
Provides patient education based on as assessment of learning needs of patient/care giver.
Fulfills all organizational requirements
Completes all required learning relevant to the role
Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
Fosters a culture of improvement, efficiency and innovative thinking.
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership ...with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.