Director of Care Management, Quality Assurance, and Quality Improvement

*Director of Care Management,Quality Assurance and Quality Improvement* *REPORTS TO:* Director of Clinical Services and Chief Nursing Officer *EDUCATION & EXPERIENCE* * Required * Bachelor’s degree in a related field * Certifications: RN * Two years of case/care management experience * Preferred * Outpatient case/care management experience * Prior managerial experience in a healthcare setting * Certified Case Manager (CCM) designation * Certification in Healthcare Quality *SKILLS* * Departmental leadership skills * Ability to teach and supervise care management, disease management, and patient education skills.
* Ability to teach knowledge of chronic physical and behavioral health conditions.
* Ability to teach evidence-based behavioral strategies, including motivational interviewing.
* Strong interpersonal skills with the ability to build effective relationships across medical teams and with patients.
* High proficiency in problem identification and care plan development.
* Professional interaction skills with medical providers and other healthcare professionals.
* Skillfully conduct health assessments and screenings.
* Ability to perform the duties of Social Work and Nurse Care Managers * Strong written and oral communication skills.
*PRIMARY DUTIES* * Lead and direct all care management activities, ensuring patient care coordination and adherence to clinical protocols and regulatory standards.
* Develop and implement care management programs, standing delegated orders, management protocols, policies, and departmental strategy in consultation with senior leadership.
* Supervise a multidisciplinary team of care managers responsible for patient care coordination.
* Develop and maintain a tracking system for seamless care coordination across medical services, including transitions and referrals.
* Utilize CM tracking to meet productivity targets.
* Collaborate with the Director of Population Health to address quality and clinical priorities.
* Develop and oversee quality management and improvement programs in collaboration with various clinical Chief Officers.
* Conduct data analysis and reporting * Perform internal audits to ensure compliance with organizational and state/federal practices, policies, and regulations.
* Manage departmental budget and staffing.
* Lead regular Care Team meetings and departmental meetings.
*OTHER DUTIES* * As assigned by supervisor.
*PHYSICAL AND MENTAL REQUIREMENTS* * Possess a valid Texas driver’s license and appropriate liability insurance * Access to personal transportation * Visual and auditory accuracy * Shift length varies * Indoor setting * Continuous use of computer * Long periods of sitting * Frequent use of telephone and/or smart devices * Continuous repetitive grasping and manipulation of both hands * Continuous conversational communication * Occasional reaching, walking, squatting, bending, kneeling, twisting and climbing * Occasionally carrying, lifting, pushing and pulling of up to 25 lbs.
* Occasionally working in confined, noisy, dusty areas * Understand/carry out simple/detailed, oral/written instructions * Memorize and retain instructions * Read and interpret detailed specifications * Mental competency * Tobacco non-user * Physical accommodations will be implemented where necessary and feasible Job Type: Full-time Benefits: * Dental insurance * Health insurance * Life insurance * Paid time off * Retirement plan * Vision insurance Schedule: * Day shift * Monday to Friday Work Location: In person