Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet(r) nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center.
Job Summary
The Vice President, System Care Management, reports to the Senior Vice President, Care Transitions & Integration, and is responsible for leadership and oversight of Care Management functions across Harris Health System. This role will serve as strategic change activator in care management, guiding the efforts of the Administrative Directors, and will provide leadership for the multidisciplinary inpatient, utilization review, ambulatory, community-based, and outsourced care management teams, including nurse case managers, utilization review nurses, social workers, community health workers, and care management coordinators.
The responsibilities of this role include, but are not limited to: developing a Care Management strategic plan and supporting Harris Health System's efforts to become a high reliability organization, including the inpatient, utilization review, ambulatory and outsourced platforms; ensuring consistency of policies, procedures, and practice; monitoring compliance with regulations and ensuring consistent application of regulatory changes at all entities; monitoring key performance metrics that support the practice of Care Management; supporting the triple aim, including improving patient outcomes and satisfaction; and working collaboratively with Harris Health System's inpatient, utilization review, ambulatory, and outsourced services to create an integrated comprehensive care management infrastructure that ensures appropriate utilization and seamless transitions of care. The role is responsible for developing and managing the organization's Care Management program and ensuring consistent understanding and application. This role establishes clear educational goals and a training plan for Care Management and works with the Director, Care Management Education and Coaching, to implement. The position establishes the competencies required for each position in Care Management and a standardized process for evaluating the competencies. This role collaborates with system- and community-wide stakeholders to ensure the Care Management program is aligned with the organizations strategic plan. This role will guide innovative care management efforts to ensure care management practices are competitive with peer organizations.
Minimum Qualifications
Degrees: Graduation from an accredited School of Nursing with a Bachelors degree in Nursing and Masters degree in Nursing or related field (Healthcare Administration or Business Administration) required.
License & Certification:
Licensed to practice nursing in the State of Texas required.
Accredited Case Manager certification (ACM or CCM) to be completed within two (2) years if not held at the time of appointment.
Work Experience : Fifteen (15) years of experience in a healthcare environment required.
Medical/Surgical/ICU with hospital leadership experience in a complex health system managing multiple departments or facilities preferred. Specific experience in care or case management in acute care and ambulatory settings to include care coordination, utilization review, utilization management, transition planning, and social work. Exceptional leadership, communication, relationship building, and public speaking skills as well as a functional knowledge of the CMS Conditions of Participation, Joint Commission standards, and Case Management Standards of Practice and Scope of Services is required. Experience in a safety net and/or academic healthcare system is preferred.
Management Experience: Ten (10) years of leadership or supervisory experience in complex health systems required. Management of multiple departments or facilities preferred.
Communication Skills: Above Average Verbal (Heavy Public Contact), Exceptional Verbal (Public Speaking), Writing/Correspondence, Writing/Reports.
Proficiencies: MS excel, MS Word, P.C.
Job Attributes
Knowledge/Skills/Abilities: Analytical Abilities, Mathematics, Medical Terminology Knowledge, Research Knowledge and Abilities, Statistical Knowledge and Abilities.
Work Schedule: Flexible, Eligible for Telecommute.
Other Requirements:
a.Technical Skill: Perform his/her job demonstrating technical ability, understanding of job expectations, and compliance with organizational policies and procedures. Ability to meet or exceed annual goals set for the Harris Health System.
b.Teamwork: Participate as a member of the System sharing mutual goals and a common mission. Will demonstrate respect and cooperative relationships in fulfilling the goals and mission of Harris Health and this position.
c.Communication: Demonstrate good interpersonal skills with all whom the incumbent interacts including hospital staff, visitors, and most importantly, patients and their families. All communications, written and verbal, should demonstrate a commitment to customer service and excellence. Incumbent must effectively send, receive, and respond to information ensuring a high level of patient care and service.
d.Initiative: Commit to and perform quality work contributing to quality patient care. Assume responsibility and accountability for his/her actions. Meet the challenges of a changing environment and is timely in meeting his/her responsibilities. Strive to provide excellent customer service. Value accomplishments and show enthusiasm and pride in the clinic and hospital. Demonstrate a self-directed work effort that confirms the ability to recognize personal strengths and weaknesses. Is expected to develop goals for professional growth and strive to achieve those goals.
e.Customer Service: Demonstrate a commitment to courteous, sincere and sensitive customer service. Will present a positive and caring attitude in all interactions with patients, visitors, staff and physicians. Is patient, tolerant and accepting of diversity. Present a positive image of himself/herself and of Harris Health in all personal and telephone interactions.
f.Quality Improvement: Demonstrate a commitment to quality and excellence. Problems are solved through critical evaluation of data-based information and continuous improvement efforts that lead to effective quality-based outcomes. Is expected to be able to accurately identify and diagnose an issue, identify alternatives, implement a plan, and evaluate and communicate results.
