Director, Care Management

Providence Health & Services
life insurance, parental leave, 401(k)
United States, California, Napa
Mar 27, 2025
Description Calling All Visionary Healthcare Leaders! Do you possess an unwavering dedication to optimizing patient care and shaping the future of healthcare management? Are you a natural leader who thrives on transforming challenges into opportunities for growth and excellence? If so, Queen of the Valley Medical Center has an exceptional role waiting for you! The Role: As the Director of Care Management at our esteemed Medical Center, you'll be at the helm of the care management functions, orchestrating seamless operations and cultivating a culture of continuous improvement. Your leadership will be instrumental in driving personnel and fiscal management for our Case Management and Social Services departments. You'll design and implement staff development initiatives that align with our strategic goals and uphold professional standards. What You'll Do: Healthcare Visionary: Lead the charge in optimizing resource utilization and care management across the continuum. Be at the forefront of denial management, discharge planning, and length of stay initiatives, in accordance with the Medical Center Utilization Plan. Strategic Collaborator: Partner with physicians, the management team, and staff to analyze practices and integrate industry best practices, propelling Queen of the Valley Medical Center toward its strategic objectives. Compliance Connoisseur: Ensure our operations are in sync with Joint Commission standards, state and federal regulatory criteria, and professional practice standards. Patient-Centric Leader: Address the age-specific needs of patients from infants to geriatrics, guiding your team in delivering compassionate and informed care throughout their journey. Operational Maestro: Direct and guide strategic program components, including utilization review, clinical documentation management, performance improvement projects, and medical staff relations. Community Connector: Collaborate with our Community Outreach/Care Network program to maintain continuity of care, building long-lasting partnerships with community entities and organizations. Leadership Developer: Mentor, recruit, and cultivate talent within the Case Management and Social Work Departments. Encourage continuous learning and professional growth, enhancing the atmosphere for sacred encounters. Fiscal Advocate: Demonstrate fiscal accountability, develop and monitor budgets, and champion resources for innovative department goals, including new technologies. What You'll Bring: Educational Excellence: A Bachelor's Degree in Nursing or Health Services Administration is required, with opportunities for current employees or contractors to attain the requisite education. Advanced Expertise: A Master's Degree in Nursing, Social Work, or Health Services Administration is preferred, alongside 5 years of care management experience in an acute care setting. Proven Leadership: With 3 years of leadership experience in an acute care environment, you'll bring a seasoned perspective to strategic decision-making. Certification Advantage: Licensed Clinical Social Worker (LCSW) if possessing an MSW. Registered Nurse if possessing a Bachelor's Degree in Nursing. Communication Champion: Exhibit effective interpersonal, verbal, and written communication skills to resolve conflicts, facilitate collaboration, mentor staff, and convey complex concepts clearly. Innovative Problem Solver: Be proactive in addressing system outcome issues, demonstrating flexibility to adapt and grow within an evolving organization. Technological Proficiency: Bring advanced computer skills and knowledge of software programs, database management, and regulatory requirements. Why Join Us? Transformative Impact: Contribute to a healthcare institution dedicated to transforming patient care and fostering community well-being. Dynamic Environment: Thrive in a fast-paced, evolving setting where your leadership will catalyze meaningful change. Collaborative Spirit: Work alongside a team of talented professionals who share your passion for exceptional healthcare delivery. Ready to Lead and Innovate in Healthcare Management? If you are a visionary leader ready to make a difference, we invite you to apply! Join Queen of the Valley Medical Center and help us pave the way for a healthier future for all. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Northern California, Providence provides health care services to Eureka, Fortuna, Healdsburg, Napa, Petaluma and Santa Rosa. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 348762 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 7810 UTILIZATION REVIEW Address: CA Napa 1000 Trancas St Work Location: Queen of the Valley Medical Center Workplace Type: On-site Pay Range: $83.21 - $131.38 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.