Director of Nursing, Care Management

Empower Every New Yorker - Without Exception - to Live the Healthiest Life Possible

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.

Under direction of the Sr. AVP/Chief of Operations, with the broadest scope for the exercise of independent initiative and judgment, serves as an integral part of the multidisciplinary team overseeing the department's activities across the health care setting directing and managing the daily operations of the department, including System Care Management. The Director formulates and institutes effective strategies and policies that focus on the delivery of operational programs, cost effective health care services. Ensures optimal utilization of resources and compliance with the operating standards of the Health System.

General tasks will include:

Develops, establishes and implements the philosophy, objectives, policies and standards of the Nursing Department.
Designs, develops, and implements effective strategies and programs throughout the health care setting focused on improving quality, patient experience, and population health outcomes and reducing the cost of patient care..
Partners with key stakeholders to define the strategic direction for the System Care Management Program, as well as other operational programs assigned, ensuring alignment with the System's mission, values, and business goals.
Monitors the effectiveness of the program efficiencies and all metrics assigned.
Participates in councils and committees assigned. Includes Social Work and Care management council, but not limited too.
Develops, implements and makes recommendations to ensure programs are aligned with the multi-disciplinary teams working with System Nursing.
Coordinates the collection and analysis of all data related to operational indicators and utilizes findings to drive improvements, mitigate risks, and to increase the level of care within the System.
Recommends organizational objectives related to strategic plans and establishes service goals and identifies problems affecting the quality of service. Implements service and process improvement initiatives and other programs utilizing cost-effective solutions and service delivery enhancements.
Serves as both principal advisor and key resource to senior leadership, clinical staff, and other appropriate parties on matters pertaining to quality management techniques and systems, and presents findings of assessments, analyses, and safety incidents to various agencies, executives and/or senior managers. Advises on upcoming regulatory changes and required actions needed to meet or exceed new industry standards and to achieve improved outcomes.
Deploys department resources in a strategic manner with the goal of achieving excellence in service delivery. Provides ongoing quality management training, guidance, and developmental opportunities to staff who impact the delivery of care
Serve as a revenue cycle expert, with focus on denial management.
Provide process and performance improvement focus on length of stay and through-put initiatives.
Other duties as assigned.