System Director, Primary Care - Care Coordination

Medical University of South Carolina | Charleston, SC, United States

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Posted Date 4/16/2024
Description

Job Description Summary

The MUSC System Director, Primary Care - Care Coordination reports to the Executive Director, Ambulatory Services Primary Care for the Charleston Division. This role is responsible for developing and overseeing care coordination and transitional care management programs for primary care patients throughout MUSC Health to include all divisions (Charleston, Orangeburg, Midlands, Pee Dee, Catawba) and will foster a comprehensive, collaborative, and coordinated approach to the care of primary care patients by working with key stakeholders and clinical leaders.

The System Director will provide leadership in developing, planning, organizing, implementing, and evaluating continuum of care services to maximize value, and is responsible for the interdisciplinary direct and indirect patient care across the care continuum, with an emphasis on outpatient care and care transitions, for high-risk, high-utilizer patients and patients in value-based programs.

The ideal candidate will possess excellent communication skills, expertise in a collaborative, systems approach to problem solving, using critical thinking skills and knowledge of community resources to plan and coordinate care. This position has supervisory responsibility for primary care care-coordinators to include RNs, LPNs, and CMAs, PCMH Nurse Managers, and Social Workers. The role will collaborate closely with the Primary Care ICCE, Ambulatory Primary Care, Population Health Leadership in all MUSC Divisions, as well as MUSC Inpatient Case Management, ED, Post-Acute Care, Social Work, Community Health Workers, and Specialty Care teams, to ensure alignment and coordination of care coordination programs and services across the continuum for high-risk, high-utilizer patients and MUSC patients in value-based programs.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type?

Regular

Cost Center

CC001982 UMA AMB ADMN Ambulatory Leadership CC

Pay Rate Type

Salary

Pay Grade

Health-35

Scheduled Weekly Hours

40

Work Shift

Day (United States of America)

Job Description

Responsibilities:

  • Develop, maintain, and evaluate [chronic care management (CCM) and transitional care management (TCM) programs throughout MUSC Health Primary Care.
  • This position will require occasional travel to markets to meet with the teams and provide onsite support, with estimates of 1-2 days per month.
  • Serve as a consultant to other MUSC ICCE on development of TCM and other care management programs 
  • Monitor key financial reports to ensure proper flow of revenue cycle for TCM and CCM as well as future care coordination programs
  • Develop reports to track productivity of care coordination staff
  • Responsible for coordination of care across the continuum and population health management, for low, medium, and high-risk patients, while providing coordination of care and services through the management of a team of care coordination staff, including care coordinators, PCMH managers and social workers
  • Plan, assign and review work of staff to ensure that group objectives and program goals are met
  • Work closely with payers in value-based arrangements to coordinate and align care coordination efforts and resources
  • Present status updates on programs to Primary Care ICCE and Population Health committees as appropriate
  • Evaluate future programs as appropriate for care coordination enhancements

Required Education and Experience: Master’s degree required, along with clinical degree or certification. Five (5) to ten (10) years clinical experience required. Three (3) years managerial experience required. Experience managing care management or case management within an ACO or population health modeled system preferred.

Work Requirements:

  • Requires excellent oral and written communication skills, strong organizational and time management skills.
  • Proven leadership experience that includes team building, motivating staff with enthusiasm and compassion, communicating skills across disciplines, and collaboration.
  • Ability to lead multi-disciplinary teams while implementing and expanding a care management program.
  • Strong communication, customer service and decision-making skills; knowledge of budgetary processes and financial principles; knowledge of labor laws, standards of care, and regulatory standards required.
  • Willingness to perform Care Manager/Coordinator duties as needed.

Additional Job Description

Physical Requirements:

  • Ability to perform job functions while standing. (Frequent)
  • Ability to perform job functions while sitting. (Frequent)
  • Ability to perform job functions while walking. (Frequent)
  • Ability to climb stairs. (Infrequent)
  • Ability to work indoors. (Continuous)
  • Ability to work in confined/cramped spaces. (Infrequent)
  • Ability to perform job functions from kneeling positions. (Infrequent)
  • Ability to bend at the waist. (Infrequent)
  • Ability to squat and perform job functions. (Infrequent)
  • Ability to perform 'pinching' operations. (Infrequent)
  • Ability to fully use both hands/arms. (Continuous)
  • Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous)
  • Ability to reach in all directions. (Frequent)
  • Possess good finger dexterity. (Continuous)
  • Ability to lift and carry 15 lbs. unassisted. (Infrequent)
  • Ability to lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted. (Infrequent)
  • Ability to lift from 36 inches to overhead 15 lbs. (Infrequent)
  • Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous)
  • Ability to see and recognize objects close at hand. (Continuous)
  • Ability to match or discriminate between colors. (Continuous)
  • Ability to determine distance/relationship between objects; depth perception. (Continuous)
  • Good peripheral vision capabilities. (Continuous)
  • Ability to maintain hearing acuity, with correction. (Continuous)
  • Ability to perform gross motor functions with frequent fine motor movements. (Continuous)
  • Ability to work in a latex safe environment. (Continuous)
  • Ability to deal effectively with stressful situations. (Frequent)

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

Employment Type
Full time
Category
Administration | Healthcare & Public Health

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