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Director - Care Management
Fa Ewfb Saasfaprod1 Fa Ocs Oraclecloud Com CX 1 · Stamford, CT, United States; HR-Main Campus, Stamford, CT, US · Active · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Fa Ewfb Saasfaprod1 Fa Ocs Oraclecloud Com CX 1 |
| Title | Director - Care Management |
| Normalized title | - |
| Department / team | 090 - Director |
| Location | Stamford, CT, United States |
| Work model | - |
| Employment type | Full Time |
| Salary | - |
| Status | active |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-02-11 / 2026-05-31 |
| Changed / last seen | 2026-06-11 / 2026-06-18 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Fa Ewfb Saasfaprod1 Fa Ocs Oraclecloud Com CX 1. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Stamford. | Open |
| Department jobs | Active postings in 090 - Director. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Fa Ewfb Saasfaprod1 Fa Ocs Oraclecloud Com CX 1 |
| Source | 39f0ec81-6c0e-45c4-84a0-2d4da41f9f41 |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
Description
Description
Stamford Health has an opportunity for a Director of Care Management in Stamford, CT! The Director, Care Management, is responsible for the daily oversight and management of case management, social work, utilization review, transitional care, compliant documentation, and resource utilization. He/she will provide a leadership role in developing innovative care management and alternative reimbursement models, and play a primary role in organizational efficiency and throughout initiatives.
The Director will play a leading role in coordinating and managing the quality, safety and effectiveness, of patient care transitions from and related to the acute care setting. These include transitions to ambulatory, post-acute, and community settings. The Director will lead a team that directs and facilitates relationships among hospital, ambulatory, and community based providers for seamless continuity of care, including but not limited to physician offices, clinics, hospices, skilled nursing facilities, home health agencies, LTACs, and other post-acute and community entities.
The Director will report directly to the VP Quality. He/she will work closely with the leadership of Stamford Health Medical Group, Senior VP Medical Affairs, VP of Clinical Services/Chief Nurse Executive, Chief Information Officer, Department Chairs, and Medical Staff President, in efforts to promote optimal inpatient throughput and transitional care.
Responsibilities:
Responsible for the daily oversight, results, and management of case management, clinical documentation specialists, social services, and utilization review staff.
Responsible for compliance with regulatory, accreditation, payer and other standards in case management, social work and affiliated activities as appropriate for a complex health care organization.
Serve as the lead organizational resource in discharge planning and transitional care.
Foster, lead, and direct relationships between community and hospital based providers for seamless continuity of care of patients, including but not limited to physician offices, clinics, hospice, SNFs, HHAs, LTACs, and other post-acute care community agencies and facilities
Recognize the Planetree philosophy at Stamford Health. The Director will develop programs and have processes in place to anticipate the needs of patients and families, standardizing the approach to communication and processes to improve outcomes and satisfaction.
Develop focused initiatives to accomplish the specific objectives of the Care Management Department as well as the overall goals of the Stamford Health System.
Collaborate with palliative care, hospice, hospitalists and other providers in the care continuum to maximize effectiveness of the team.
Support clinical (nursing and physician) activities by working with the care management staff and intervening with medical staff members as necessary.
Ensure that Stamford Hospital receives all payments that it is entitled to for patient treatment through active advocacy and appeal.
Diligently appeal concurrent and retrospective denials both verbally and in writing through the resources in the department.
Collaborate with Clinical Chairs, Division Directors, Medical Directors and administrative leaders to continue building systems and processes to improve medical management, including participation in the development of pathways, protocols, and referral management processes.
Provide ongoing education to leadership, medical staff, and residents, on care management.
Serve as chair or member of key committees as requested by the SVP Medical Affairs or VP Quality.
Provide leadership for application of evidence based practices for management, aggregation, and analysis of care coordination, quality and safety data involving publicly reported data, data registries, and institutionally-specific variables as agreed with the VP Quality.
Responsible for leading, coordinating and managing the quality, safety and effectiveness of patient care transitions from and pertinent to the inpatient setting. This encompasses transitions both within the hospital and health system as well as in between the system and community at large. This includes admission and discharge planning and enabling disease and resource management efforts
Key strategies may include development and enabling of:
Value-based referral processes
Analysis of readmission data and care protocols;
Readmission tools and high-risk algorithms;
Vulnerable patient home visit processes
Strategy for outpatient care coordinator presence with affiliated PCPs;
A process for failed transfers and readmissions;
Processes for high risk and/or high utilizing patients;
A scorecard for care management across the health system
Collaborate with senior leaders, clinicians from all disciplines, directors, managers, and staff to develop, implement, and evaluate quality, safety, and efficiency in patient-centered cared delivery.
Serve as a primary organizational liaison with public and private payers, in relation to care and utilization management processes.
Integrate discharge planning with functional discharge summaries to ensure comprehensive care coordination.
Embed care coordination into specialty clinics
Evaluate institutional care coordination, quality, and safety data through use of internal data and external benchmarks as appropriate.
Develop programs for individual care planning and communication with community providers and agencies including identifying care needs, treatment goals and objectives, objective criteria for terminating specified interventions and mechanisms to document progress in meeting patient objectives across the care continuum.
Integrate care planning into system EHR platform, health information exchange or other appropriate systems, in conjunction with the IS team.
Manage resources with dual emphasis on both cost containment and continuous improvement.
Promote use of evidence-based standards and nationally recognized best practices in interdisciplinary patient-centered care delivery .
Lead and participate in efforts to redesign care management, and develop alternative care delivery and reimbursement models.
Provide leadership in bundled payment, accountable care, and shared risk arrangements.
Participate in and procure externally funded care management efforts.
Develop and manage Department and Program budgets.
Develop and manage scorecards and performance reports in care management.
Recruit, lead, develop, maintain, evaluate, and discipline care management personnel as necessary.
Evaluate and recommend changes to IS systems pertinent to care management.
Qualifications/Requirements:
Current or pending Connecticut Registered Nurse, Social Work, or Nurse Practitioner License
Bachelors Degree in a related field is required
Masters Degree required (in Healthcare Administration preferred)
Certified Case Manager (CCM) or certification in care management related discipline
Excellent organizational, communication, interpersonal and public speaking skills are required
High level of competency with MS Office and health information technology
Experience with personnel management in including recruitment, job description development and disciplinary processes, is required
Experience with developing, administering, and monitoring budgets is required.
A minimum of five years recent experience in complex case management, long term stays, including nurse assisted case management, utilization management, and disease management
Experience with performance improvement including CMS and TJC core measures
Prior experience working with multidisciplinary group practice and/or community based programs and facilities
Experience in translating objective and measurable data into effective written and verbal communication
The ability to develop and communicate policies and procedures is required
Prior training experience such as performing in-service training is preferred
The ability to evaluate and perform data analyses using Microsoft Excel or equivalent is required
Prior Hospital / Health Care required and experience collaborating with physicians and nurses is preferred
Experience in a Health Care System is preferred
Independent, innovative, decision Maker
Creative approach to resource management, financial, and human capital
RAC Certification or RAC Certification eligible is preferred
#RN123
Full job record
| Job ID | f705f348cb62c2a4885dfcbcaa1a7ab2bd37547d |
| Org ID | 61ebe85c-7a9e-4dac-ad17-1edeffac3d0e |
| Source ID | 39f0ec81-6c0e-45c4-84a0-2d4da41f9f41 |
| Board ID | 39f0ec81-6c0e-45c4-84a0-2d4da41f9f41 |
| Provider | oracle_hcm |
| Provider Job Key | 5549 |
| Title | Director - Care Management |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Stamford, CT, United States; HR-Main Campus, Stamford, CT, US |
| Department | 090 - Director |
| Team | — |
| Employment Type | full_time |
| Workplace Type | — |
| Remote Policy | — |
| Country | United States |
| Region | CT |
| City | Stamford |
| Salary Raw | Description Stamford Health has an opportunity for a Director of Care Management in Stamford, CT! The Director, Care Management, is responsible for the daily oversight and management of case management, social work, utilization review, transitional care, compliant documentation, and resource utilization. He/she will provide a leadership role in developing innovative care management and alternative reimbursement models, and play a primary role in organizational efficiency and throughout initiatives. The Director will play a leading role in coordinating and managing the quality, safety and effectiveness, of patient care transitions from and related to the acute care setting. These include transitions to ambulatory, post-acute, and community settings. The Director will lead a team that directs and facilitates relationships among hospital, ambulatory, and community based providers for seamless continuity of care, including but not limited to physician offices, clinics, hospices, skilled nursing facilities, home health agencies, LTACs, and other post-acute and community entities. The Director will report directly to the VP Quality. He/she will work closely with the leadership of Stamford Health Medical Group, Senior VP Medical Affairs, VP of Clinical Services/Chief Nurse Executive, Chief Information Officer, Department Chairs, and Medical Staff President, in efforts to promote optimal inpatient throughput and transitional care. Responsibilities: Responsible for the daily oversight, results, and management of case management, clinical documentation specialists, social services, and utilization review staff. Responsible for compliance with regulatory, accreditation, payer and other standards in case management, social work and affiliated activities as appropriate for a complex health care organization. Serve as the lead organizational resource in discharge planning and transitional care. Foster, lead, and direct relationships between community and hospital based providers for seamless continuity of care of patients, including but not limited to physician offices, clinics, hospice, SNFs, HHAs, LTACs, and other post-acute care community agencies and facilities Recognize the Planetree philosophy at Stamford Health. The Director will develop programs and have processes in place to anticipate the needs of patients and families, standardizing the approach to communication and processes to improve outcomes and satisfaction. Develop focused initiatives to accomplish the specific objectives of the Care Management Department as well as the overall goals of the Stamford Health System. Collaborate with palliative care, hospice, hospitalists and other providers in the care continuum to maximize effectiveness of the team. Support clinical (nursing and physician) activities by working with the care management staff and intervening with medical staff members as necessary. Ensure that Stamford Hospital receives all payments that it is entitled to for patient treatment through active advocacy and appeal. Diligently appeal concurrent and retrospective denials both verbally and in writing through the resources in the department. Collaborate with Clinical Chairs, Division Directors, Medical Directors and administrative leaders to continue building systems and processes to improve medical management, including participation in the development of pathways, protocols, and referral management processes. Provide ongoing education to leadership, medical staff, and residents, on care management. Serve as chair or member of key committees as requested by the SVP Medical Affairs or VP Quality. Provide leadership for application of evidence based practices for management, aggregation, and analysis of care coordination, quality and safety data involving publicly reported data, data registries, and institutionally-specific variables as agreed with the VP Quality. Responsible for leading, coordinating and managing the quality, safety and effectiveness of patient care transitions from and pertinent to the inpatient setting. This encompasses transitions both within the hospital and health system as well as in between the system and community at large. This includes admission and discharge planning and enabling disease and resource management efforts Key strategies may include development and enabling of: Value-based referral processes Analysis of readmission data and care protocols; Readmission tools and high-risk algorithms; Vulnerable patient home visit processes Strategy for outpatient care coordinator presence with affiliated PCPs; A process for failed transfers and readmissions; Processes for high risk and/or high utilizing patients; A scorecard for care management across the health system Collaborate with senior leaders, clinicians from all disciplines, directors, managers, and staff to develop, implement, and evaluate quality, safety, and efficiency in patient-centered cared delivery. Serve as a primary organizational liaison with public and private payers, in relation to care and utilization management processes. Integrate discharge planning with functional discharge summaries to ensure comprehensive care coordination. Embed care coordination into specialty clinics Evaluate institutional care coordination, quality, and safety data through use of internal data and external benchmarks as appropriate. Develop programs for individual care planning and communication with community providers and agencies including identifying care needs, treatment goals and objectives, objective criteria for terminating specified interventions and mechanisms to document progress in meeting patient objectives across the care continuum. Integrate care planning into system EHR platform, health information exchange or other appropriate systems, in conjunction with the IS team. Manage resources with dual emphasis on both cost containment and continuous improvement. Promote use of evidence-based standards and nationally recognized best practices in interdisciplinary patient-centered care delivery . Lead and participate in efforts to redesign care management, and develop alternative care delivery and reimbursement models. Provide leadership in bundled payment, accountable care, and shared risk arrangements. Participate in and procure externally funded care management efforts. Develop and manage Department and Program budgets. Develop and manage scorecards and performance reports in care management. Recruit, lead, develop, maintain, evaluate, and discipline care management personnel as necessary. Evaluate and recommend changes to IS systems pertinent to care management. Qualifications/Requirements: Current or pending Connecticut Registered Nurse, Social Work, or Nurse Practitioner License Bachelors Degree in a related field is required Masters Degree required (in Healthcare Administration preferred) Certified Case Manager (CCM) or certification in care management related discipline Excellent organizational, communication, interpersonal and public speaking skills are required High level of competency with MS Office and health information technology Experience with personnel management in including recruitment, job description development and disciplinary processes, is required Experience with developing, administering, and monitoring budgets is required. A minimum of five years recent experience in complex case management, long term stays, including nurse assisted case management, utilization management, and disease management Experience with performance improvement including CMS and TJC core measures Prior experience working with multidisciplinary group practice and/or community based programs and facilities Experience in translating objective and measurable data into effective written and verbal communication The ability to develop and communicate policies and procedures is required Prior training experience such as performing in-service training is preferred The ability to evaluate and perform data analyses using Microsoft Excel or equivalent is required Prior Hospital / Health Care required and experience collaborating with physicians and nurses is preferred Experience in a Health Care System is preferred Independent, innovative, decision Maker Creative approach to resource management, financial, and human capital RAC Certification or RAC Certification eligible is preferred #RN123 |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | day |
| Source URL | https://fa-ewfb-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/Careers/job/5549 |
| Apply URL | https://fa-ewfb-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/Careers/job/5549 |
| First Seen At | 2026-05-31 17:59:14Z |
| Last Seen At | 2026-06-18 11:15:13Z |
| Last Checked At | 2026-06-18 11:15:13Z |
| Last Changed At | 2026-06-11 11:39:16Z |
| Inactive At | — |
| Source Posted At | 2026-02-11 15:20:29Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=fa-ewfb-saasfaprod1.fa.ocs.oraclecloud.com|CX_1/date=2026-06-18/2026-06-18T11-15-00-886Z-403dbc0525a7a7b05cb7e59f62ce5f9d2efec4297e26e92c0cb2838cb22f1b37.json |
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"ExternalDescriptionStr": "<p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Stamford Health has an opportunity for a Director of Care Management in Stamford, CT! The Director, Care Management, is responsible for the daily oversight and management of case management, social work, utilization review, transitional care, compliant documentation, and resource utilization.<span> </span>He/she will provide a leadership role in developing innovative care management and alternative reimbursement models, and play a primary role in organizational efficiency and throughout initiatives.<span> </span></span></p><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">The Director will play a leading role in coordinating and managing the quality, safety and effectiveness, of patient care transitions from and related to the acute care setting.<span> </span>These include transitions to ambulatory, post-acute, and community settings. The Director will lead a team that directs and facilitates relationships among hospital, ambulatory, and community based providers for seamless continuity of care, including but not limited to physician offices, clinics, hospices, skilled nursing facilities, home health agencies, LTACs, and other post-acute and community entities.</span></p><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">The Director will report directly to the VP Quality.<span> </span>He/she will work closely with the leadership of Stamford Health Medical Group, Senior VP Medical Affairs, VP of Clinical Services/Chief Nurse Executive, Chief Information Officer, Department Chairs, and Medical Staff President, in efforts to promote optimal inpatient throughput and transitional care.</span></p><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\"><strong>Responsibilities: </strong></span></p><ul style=\"list-style-type:disc;\"><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Responsible for the daily oversight, results, and management of case management, clinical documentation specialists, social services, and utilization review staff.</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Responsible for compliance with regulatory, accreditation, payer and other standards in case management, social work and affiliated activities as appropriate for a complex health care organization.</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Serve as the lead organizational resource in discharge planning and transitional care.</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Foster, lead, and direct relationships between community and hospital based providers for seamless continuity of care of patients, including but not limited to physician offices, clinics, hospice, SNFs, HHAs, LTACs, and other post-acute care community agencies and facilities</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Recognize the Planetree philosophy at Stamford Health.<span> </span>The Director will develop programs and have processes in place to anticipate the needs of patients and families, standardizing the approach to communication and processes to improve outcomes and satisfaction. </span></p></li><li style=\"punctuation-wrap:simple;tab-stops:list .5in;text-autospace:none;vertical-align:baseline;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Develop focused initiatives to accomplish the specific objectives of the Care Management Department as well as the overall goals of the Stamford Health System.</span></p></li><li style=\"punctuation-wrap:simple;tab-stops:list .5in;text-autospace:none;vertical-align:baseline;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Collaborate with palliative care, hospice, hospitalists and other providers in the care continuum to maximize effectiveness of the team.</span></p></li><li style=\"punctuation-wrap:simple;tab-stops:list .5in;text-autospace:none;vertical-align:baseline;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Support clinical (nursing and physician) activities by working with the care management staff and intervening with medical staff members as necessary.</span></p></li><li style=\"punctuation-wrap:simple;tab-stops:list .5in;text-autospace:none;vertical-align:baseline;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Ensure that Stamford Hospital receives all payments that it is entitled to for patient treatment through active advocacy and appeal.</span></p></li><li style=\"punctuation-wrap:simple;tab-stops:list .5in;text-autospace:none;vertical-align:baseline;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Diligently appeal concurrent and retrospective denials both verbally and in writing through the resources in the department.</span></p></li><li style=\"punctuation-wrap:simple;tab-stops:list .5in;text-autospace:none;vertical-align:baseline;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Collaborate with Clinical Chairs, Division Directors, Medical Directors and administrative leaders to continue building systems and processes to improve medical management, including participation in the development of pathways, protocols, and referral management processes.</span></p></li><li style=\"punctuation-wrap:simple;tab-stops:list .5in;text-autospace:none;vertical-align:baseline;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Provide ongoing education to leadership, medical staff, and residents, on care management.</span></p></li><li style=\"punctuation-wrap:simple;tab-stops:list .5in;text-autospace:none;vertical-align:baseline;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Serve as chair or member of key committees as requested by the SVP Medical Affairs or VP Quality.</span></p></li><li><p style=\"line-height:normal;margin-bottom:0in;margin-right:0in;margin-top:0in;tab-stops:list .5in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Provide leadership for application of evidence based practices for management, aggregation, and analysis of care coordination, quality and safety data involving publicly reported data, data registries, and institutionally-specific variables as agreed with the VP Quality.</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Responsible for leading, coordinating and managing the quality, safety and effectiveness of patient care transitions from and pertinent to the inpatient setting. <span> </span>This encompasses transitions both within the hospital and health system as well as in between the system and community at large. This includes admission and discharge planning and enabling disease and resource management efforts</span></p></li><li><p style=\"tab-stops:list .25in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Key strategies may include development and enabling of:</span></p></li><li><p style=\"tab-stops:list .75in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Value-based referral processes</span></p></li><li><p style=\"tab-stops:list .75in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Analysis of readmission data and care protocols;</span></p></li><li><p style=\"tab-stops:list .75in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Readmission tools and high-risk algorithms; </span></p></li><li><p style=\"tab-stops:list .75in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Vulnerable patient home visit processes </span></p></li><li><p style=\"tab-stops:list .75in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Strategy for outpatient care coordinator presence with affiliated PCPs;</span></p></li><li><p style=\"tab-stops:list .75in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">A process for failed transfers and readmissions;</span></p></li><li><p style=\"tab-stops:list .75in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Processes for high risk and/or high utilizing patients;</span></p></li><li><p style=\"tab-stops:list .75in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">A scorecard for care management across the health system</span></p></li><li style=\"punctuation-wrap:simple;tab-stops:list .5in;text-autospace:none;vertical-align:baseline;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Collaborate with senior leaders, clinicians from all disciplines, directors, managers, and staff to develop, implement, and evaluate quality, safety, and efficiency in patient-centered cared delivery.</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Serve as a primary organizational liaison with public and private payers, in relation to care and utilization management processes. </span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Integrate discharge planning with functional discharge summaries to ensure comprehensive care coordination.<span> </span></span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Embed care coordination into specialty clinics</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Evaluate institutional care coordination, quality, and safety data through use of internal data and external benchmarks as appropriate.</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Develop programs for individual care planning and communication with community providers and agencies including identifying care needs, treatment goals and objectives, objective criteria for terminating specified interventions and mechanisms to document progress in meeting patient objectives across the care continuum.</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Integrate care planning into system EHR platform, health information exchange or other appropriate systems, in conjunction with the IS team.</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Manage resources with dual emphasis on both cost containment and continuous improvement.</span></p></li><li><p style=\"line-height:normal;margin-bottom:0in;margin-right:0in;margin-top:0in;tab-stops:list .5in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Promote use of evidence-based standards and nationally recognized best practices in interdisciplinary patient-centered care delivery</span>.</p></li><li><p style=\"line-height:normal;margin-bottom:0in;margin-right:0in;margin-top:0in;tab-stops:list .5in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Lead and participate in efforts to redesign care management, and develop alternative care delivery and reimbursement models.</span></p></li><li><p style=\"line-height:normal;margin-bottom:0in;margin-right:0in;margin-top:0in;tab-stops:list .5in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Provide leadership in bundled payment, accountable care, and shared risk arrangements.</span></p></li><li><p style=\"line-height:normal;margin-bottom:0in;margin-right:0in;margin-top:0in;tab-stops:list .5in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Participate in and procure externally funded care management efforts.</span></p></li><li><p style=\"line-height:normal;margin-bottom:0in;margin-right:0in;margin-top:0in;tab-stops:list .5in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Develop and manage Department and Program budgets.</span></p></li><li><p style=\"line-height:normal;margin-bottom:0in;margin-right:0in;margin-top:0in;tab-stops:list .5in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Develop and manage scorecards and performance reports in care management.</span></p></li><li><p style=\"line-height:normal;margin-bottom:0in;margin-right:0in;margin-top:0in;tab-stops:list .5in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Recruit, lead, develop, maintain, evaluate, and discipline care management personnel as necessary.</span></p></li><li><p style=\"line-height:normal;margin-bottom:0in;margin-right:0in;margin-top:0in;tab-stops:list .5in;text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Evaluate and recommend changes to IS systems pertinent to care management.</span></p></li></ul><p style=\"text-align:justify;\"> </p><p style=\"text-align:justify;\"><strong>Qualifications/Requirements: </strong></p><ul style=\"list-style-type:disc;\"><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Current or pending Connecticut Registered Nurse, Social Work, or Nurse Practitioner License</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Bachelors Degree in a related field is required</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Masters Degree required (in Healthcare Administration preferred)</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Certified Case Manager (CCM) or certification in care management related discipline</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Excellent organizational, communication, interpersonal and public speaking skills are required</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">High level of competency with MS Office and health information technology</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Experience with personnel management in including recruitment, job description development and disciplinary processes, is required</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Experience with developing, administering, and monitoring budgets is required. </span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">A minimum of five years recent experience in complex case management, long term stays, including nurse assisted case management, utilization management, and disease management</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Experience with performance improvement including CMS and TJC core measures</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Prior experience working with multidisciplinary group practice and/or community based programs and facilities</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Experience in translating objective and measurable data into effective written and verbal communication</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">The ability to develop and communicate policies and procedures is required</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Prior training experience such as performing in-service training is preferred</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">The ability to evaluate and perform data analyses using Microsoft Excel or equivalent is required</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Prior Hospital / Health Care required and experience collaborating with physicians and nurses is preferred </span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Experience in a Health Care System is preferred</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Independent, innovative, decision Maker</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">Creative approach to resource management, financial, and human capital</span></p></li><li style=\"tab-stops:list .5in;\"><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">RAC Certification or RAC Certification eligible is preferred</span></p></li></ul><p style=\"text-align:justify;\"><span style=\"font-family:"Arial",sans-serif;\">#RN123</span></p><p style=\"text-align:justify;\"> </p>",
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