Intermountain Healthcare Executive Director - Enterprise Care Management in Salt Lake City, Utah

Job ID:215932
Greater Salt Lake area

About Us

What does it mean to be a part of Intermountain Healthcare? It means that the quest for clinical excellence is not just a goal, but a given. It means building an environment where physicians and employees can deliver the best in healthcare. And it’s realizing each employee or volunteer is vital to the healing process, because we can only achieve theextraordinary together .

Being a part of Intermountain Healthcare means joining with a world-class team of over 36,000 employees and embarking on a career filled with opportunities, strength, innovation, and fulfillment. Our mission is: Helping people live the healthiest lives possible.

Our patients deserve the best in healthcare, and we deliver.

Job Description

This position will oversee the care management functions across all divisions for Intermountain Healthcare (Hospitals, Medical Group, Homecare and SelectHealth). In collaboration with clinical leadership, develops the infrastructure and strategy for Integrated Care Management initiatives throughout the system, including recommendations for best practice within the Integrated Clinical Network. Ensures system-wide compliance with all relevant governmental regulations, contractual requirements, as well as accreditation requirements as identified by the organization (CMS, NCQA, TJC, etc.).

Develops an Integrated Care Management learning culture for Intermountain by implementing and overseeing programs that are designed to support patients and populations throughout the lifespan and across the health journey. This position will create programs and build teams that focus on patients with complex health and/or social needs to improve total quality, reduce unnecessary costly medical expenses and achieve the patient’s health goals, with special focus on populations for whom Intermountain has assumed risk. This position will be responsible for ensuring seamless transitions between care settings, elimination of gaps in care and ensuring excellence in the care experience. Works collaboratively with all disciplines, clinical programs and clinical services to assure a partnership around Integrated Care Management. This is a system-wide leadership role reporting to the Senior Vice President of Clinical Operations and Chief Nursing Executive.Successful candidates will have extensive knowledge in Acute, Post-Acute, ambulatory and Care Management.

Job Essentials:

  • Develops and directs care management programs that support patients and populations through their health journey, focusing on safety, quality, experience, access and appropriate utilization of resources for their optimal health outcomes.
  • Collaborates with operations and clinical leadership teams to establish strategic initiatives and key performance indicators. In collaboration with others, identifies new programs and approaches for improving quality, safety and patient experience within the context of population health and as a risk-bearing entity, with alignment to the broader clinically integrated network.
  • Accountable for developing and maintaining an ongoing measurement and evaluation plan for all Integrated Care Management goals and developing programs that ensure high-quality clinical outcomes for patients of care management programs.
  • Responsible for the achievement of total cost of care targets for patients and populations receiving care management services and high patient or member satisfaction with care management programs. Provides care management best practice recommendations to the Integrated Delivery Network.
  • Works collaboratively with nursing, clinical programs, clinical services, compliance, risk management, providers, operations, health plans and the community to understand trends, to improve care and foster an interdisciplinary approach to Integrated Care Management across Intermountain.
  • Stays abreast of changes to the healthcare environment, care management and healthcare reimbursement innovations through local, regional and national networking.
  • Supports best practice through policy standardization, appropriate data collection and analysis, evaluation of EMR tools and applications, Information System review, analysis and recommendations for optimal support and clinical education collaboration.
  • Leads and supervises care management professionals and is responsible for staffing, performance management and development of those team.

Minimum Requirements

  • Master’s Degree in Nursing, Social Work or Healthcare Administration; Education is verified and degree must be obtained through an accredited institution
  • Must hold and maintain a professional license in nursing or as an LCSW
  • Ten years of professional progressive experience in health care delivery or healthcare management
  • Five years of experience leading case management, disease management or care coordination programs requiring knowledge of the current healthcare environment, healthcare regulatory matters and healthcare reimbursement
  • Significant leadership experience within a managed care environment (Medicare ACO, Medicaid, etc.), including ambulatory care management with risk populations
  • Experience in roles requiring strategic thinking and planning skills and the ability to develop proposals, pilots and projects from conception to implementation
  • Experience in directing other clinical areas, working closely with physicians and advanced practice clinicians, and developing clinical strategies, implementing operational efforts and measuring outcomes
  • Experience achieving results in both line management and matrix management environments
  • Experience using word processing, spreadsheet, database, internet, e-mail and scheduling applications
  • Experience in a role requiring effective verbal, written and interpersonal communication skills

Physical Requirements

  • Seeing, Speaking, Hearing / listening, and Manual dexterity

Preferred Qualifications

  • Professional experience working in an integrated delivery system that includes a health plan
  • Experience evaluating technology solutions to support care management functions
  • Experience with developing collaborative relationships with community organizations to address healthcare needs across the continuum

Please Note

All positions subject to close without notice

Intermountain Healthcare is an equal opportunity employer M/F/D/V

Additional Details:

Working Hours 40

Primary Work Location Central Offices

Expertise Business / Administration

Job Type Full Time

Location US-UT-Salt Lake City