(RN) Assistant Director, Care Connections Hub - 139829

UC San Diego Health is a Magnet designated organization, which is a prestigious recognition that applies to only 10% of all U.S. hospitals. Magnet is the "gold standard" for nursing excellence and is based on strengths in five key areas, which include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvements and empirical outcomes. UC San Diego Health has held its Magnet status since 2011.

UC San Diego Population Health Services has four separate areas that employ Case Managers: Utilization Management (UM); UCSD at Home: Complex Case Management; Care Connections Hub: Transitional Care Management; and Disease Management/ Digital Health. The Case Manager coordinates with physicians, nurses, social workers and other healthcare providers to expedite medically appropriate cost-effective care for patients, along with resources to address psycho-social and physical resources as appropriate. The CM applies clinical expertise and assesses patient's medical, social and physical needs to create shared patients' goals and advocate for medically necessary care and resources.

The Assistant Director, Care Connections Hub: Transitions of Care is an experienced RN who is responsible for developing standard work for RN and Social Work staff using evidenced based tools to provide telephonic outreach to patients who are discharging from a hospital or skilled nursing facility setting. The goal is to drive appropriate interventions and support patients post discharge to mitigate avoidable readmissions.

Key Responsibilities:

• Manages the staff responsible for case management to include all or most of the following: adherence to RN practice, standard work, accurate and timely documentation.

• Implements operational processes that are data driven to contribute to effective and efficient workflow coordination among primary and specialty care, and other external stakeholders.

• Works with information technology team streamline efficient care coordination post discharge in organization-wide initiatives, including electronic medical records, and business intelligence.

• Evaluates effectiveness of interventions based on analysis of readmissions, staff and patient satisfaction, and financial indicators.

• Works with members of the interdisciplinary team to support the continuous improvement of expedited patient care delivery. Recommends quality improvement measures and plans.

• Participates on organization wide committees to facilitate integration of the case management into patient care delivery models in ambulatory setting.

• Works collaboratively with colleagues across PHSO, ambulatory clinics and medical center to ensure compliance with licensure requirements and evidenced based tools within the clinical services environment, including DMHC, JCAHO, CMS, and State of California.

• Responsible for employee recruitment, performance evaluation and management, and staff development and training.

• Develops a strong culture of teamwork and staff engagement to ensure the quality of daily operations, effective interdepartmental collaborations, and the timely achievement of objectives.

• Keeps abreast of best practice research to identify and propose opportunities to improve both patient quality of care and the financial outcomes for the health system.

• Other duties as assigned.

• Bachelor's degree in nursing.

• Licensed Registered Nurse in the State of California, or commitment to obtain prior to start date.

• Seven (7) or more years of relevant experience in case management and/or telephonic care coordination for high-risk patients.

• Experience and proven success in nursing management skills.

• Substantive experience in hospital, emergency room and telephonic nursing.

• Professional experience demonstrating a strong understanding of population health and community resources.

• Strong analytical and critical thinking skills, with the ability to quickly analyze problems, determine appropriate level of intervention, and develop and apply effective solutions.

• Excellent interpersonal skills for effective collaborations with all levels of clinical staff and management, consultants, researchers, and outside agencies.

• Master's degree in nursing or related field

• Working knowledge of Epic and CarePort.

• Progressive leadership experience.

• Yellow belt (or higher) trained in lean process improvement.

• Strong technology and communication background.

• Certified in Case Management (CCM)

• Employment is subject to a criminal background check and pre-employment physical.

• Must be able to work various hours and locations based on business needs.

• Must be able to work onsite a minimum of 3 days per week.