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Type of Position:Management - Operations
Job Type:Regular
Work Shift:
Sponsorship Available:
NoInstitution Name: University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
UAMS offers amazing benefits and perks (available for benefits eligible positions only):
Health: Medical, Dental and Vision plans available for qualifying staff and familyHoliday, Vacation and Sick LeaveEducation discount for staff and dependents (undergraduate only)Retirement: Up to 10% matched contribution from UAMSBasic Life Insurance up to $50,000Career Training and Educational OpportunitiesMerchant DiscountsConcierge prescription delivery on the main campus when using UAMS pharmacyBelow you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.
The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.
Persons must have proof of legal authority to work in the United States on the first day of employment.
All application information is subject to public disclosure under the Arkansas Freedom of Information Act.
For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.
Department:ICE | CORE PA Central Access
Department's Website:
Summary of Job Duties:The Director of Care Management is accountable for the leadership of the hospital's care management department, overseeing the utilization review team, and providing supervision and support to social workers and other staff within the department. This position ensures the efficient coordination of patient care, optimization of resource utilization, and a seamless patient experience throughout their hospital stay, while maintaining compliance with clinical protocols and regulatory standards. The Director will lead a collaborative team across various departments to enhance patient outcomes, advocate for patients, and effectively manage the discharge process. This role reports directly to the Associate Vice Chancellor, Chief Clinical Access Officer.
Qualifications:
Minimum Qualifications:
Bachelor’s degree in nursing plus ten (10) years of clinical care management, including complex patient populations & utilization review experience to include five (5) years of supervisory or leadership experience.
Current Registered Nursing License with the ability to obtain licensure in the state of Arkansas.
Special knowledge, abilities and skills:
Experience in developing and leading care coordination programs.
Strong leadership and team management skills with proven ability to analyze data and implement quality improvement initiatives.
Excellent communication and interpersonal skills to collaborate with diverse stakeholders.
Knowledge of healthcare regulations and reimbursement models.
Knowledge and skills to utilize various Care Management platforms including but not limited to: InterQual/MCG criteria.
Preferred Qualifications:
Master’s degree in nursing (MSN), healthcare administration, or related field plus ten (10) years of experience in healthcare management, Social Work, leading Social Work teams and/or leading patient access teams.
Experience with Epic and Workday.
Case Management Certification (CMC).
Additional Information:
Responsibilities:
Care Coordination, Discharge Planning & Patient Advocacy:
Oversee the coordination of patient care across multiple services and providers, ensuring timely appropriate interventions and comprehensive care plans tailored to individual patient needs.
Establish and monitor clinical protocols, ensuring care managers adhere to best practices for patient assessment, care planning, and intervention delivery.
Lead efforts in ensuring that social workers and care management teams address the emotional, social, and psychological needs of patients.
Advocate for patients by providing access to necessary resources such as financial assistance, community support services, and post-discharge planning.
Partner with other departments within the organization, including clinical teams, finance, and operations, to facilitate seamless patient care, smooth transitions and minimize readmissions.
Oversee the development of individualized discharge plans that include follow-up care, community resources, and post-hospital services.
Utilization and Denials Management:
Support the Utilization Management Committee. Collaborate with the Chief Medical Officer and Physician Advisor to identify utilization trends.
Work closely with financial department in denials management.
Develop relationships with the payer community and identify opportunities to collaborate in Utilization Management and discharge planning.
Resource Management & Strategic Planning:
Develop and execute comprehensive care management strategies aligned with organizational goals, including patient population needs, quality metrics, and financial considerations.
Identify and allocate resources to address patients' needs, including community-based programs, housing, transportation, and financial support.
Monitor and manage budgets related to care management programs, ensuring efficient use of hospital resources.
Leadership and Team Management:
Supervise and provide leadership support to the care management team, including social workers, case managers, and other staff members.
Conduct regular performance evaluations, provide coaching, and facilitate professional development for team members.
Ensure staff is trained in best practices and hospital policies related to care management and social work.
Foster effective communication and collaboration between the care management team, physicians, nursing staff, and other hospital departments.
Act as a liaison to ensure all parties involved in patient care are aligned on treatment goals and progress.
Compliance and Quality Assurance:
Ensure compliance with hospital policies, regulatory standards, and ethical practices related to care management and social work.
Monitor and evaluate care management processes, providing recommendations for improvement to hospital leadership.
Program Development and Quality Improvement:
Analyze patient data to identify quality gaps and implement interventions to improve patient outcomes, including monitoring key performance indicators (KPIs).
Develop and implement strategies to improve patient satisfaction.
Regularly assess care management practices, leveraging data to inform process improvements and enhance service delivery.
Reporting and Data Analysis:
Collect, analyze, and report on key performance indicators (KPIs) related to care management, patient outcomes, and team performance.
Present data to hospital leadership and collaborate on action plans to improve care management services.
Other duties as assigned.
Salary Information:
Required Documents to Apply:
Optional Documents:
Special Instructions to Applicants:RN for AR
Recruitment Contact Information:
Please contact askrecruitment@uams.edu for any recruiting related questions.
All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements:Annual TB Screening, Criminal Background Check, Sex Offender Registry, Substance Abuse Testing
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
Constant Physical Activity:Hearing
Frequent Physical Activity:Manipulate items with fingers, including keyboarding, Sitting, Standing, Talking, Walking
Occasional Physical Activity:Grasping, Kneeling, Lifting, Pulling, Pushing, Reaching, Repetitive Motion
Benefits Eligible:Yes