Heartland Alliance for Human Needs & Human Rights
Heartland Alliance Health
Summary: The Director, Care Coordination oversees the quality and direction of care coordination model
and promotes the integration of quality services and initiatives through collaboration with all departments.
Essential Duties and Responsibilities: Works collaboratively to plan, implement, manage, and track all HAH care coordination activities.
Leads implementation of the strategic
Provides direction for plans related to integration of participant centered care throughout the organization.
Oversees monitoring and required data collection.
Serves as coordinator and liaison with outside organizations to make it possible to collaborate and coordinate services with other health and human service providers.
Works closely with all HA departments to streamline participant transitions.
Guides care coordination activities according to the needs of HAH.
Supports the achievement of clinical quality, participant safety priorities, and performance outcomes through quality improvement initiatives.
Collaborates with leadership teams to ensure alignment of value-based services with monitoring and improvement strategies through the use of data.
Works collaboratively with Director of Compliance and Risk Management and Corporate Compliance Risk Management Department to incorporate accreditation standards.
Ensures maintenance of quality standards, support and provide input into HAH policy and procedure development, program manuals and related documents.
Participates in workgroups to address and support organizational quality management and cultural change.
Assists in development of the annual QM plan.
Performs other job-related duties as assigned.
Supervisory Responsibilities: No direct reports.
Cultural Attributes: To perform the job successfully, an individual should demonstrate the following attributes.
- Accountability responsive, responsible, resourceful, principled, and a problem-solver
- Leaderful ke initiative, communicate effectively, delegate based on skills and interests, possess strategic thinking and acting; develop staff, foster teamwork
- A Bias Toward Action - Advocate for services and policies that support healthier lives for the populationse decisive and take action when a problem arises, communicating with those impacted; be proactive, innovative, and consistently work to improve operations and outcomes, carrying out formal continuous improvement initiatives
- Participant centered sten to and collaborate with participants, identify strengths and implement evidence-based practices; integrate and coordinate services across HAH programs
- Valuing our colleagues respectful and responsive; appreciative and supportive; provide input, initiative and recognition of colleagues
Competencies: To perform the job successfully, an individual should demonstrate the following competencies.
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Critical Thinking le to identify, assess, and develop effective solutions to organizational threats, risks, and gap that impact quality and operations.
Project Management - Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities.
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. * < > - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
Cost Consciousness - Works within approved budget; Develops and implements cost saving measures; Contributes to profits and revenue; Conserves organizational resources. * < > - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: - Master's Degree in nursing, social work, comparable field. Licensure in field with the State of Illinois preferred.
- Minimum of three (3) years management experience in a hospital, health plan, clinic or health care setting, and a minimum of five ( 5 ) years clinical experience
- Experience in quality management required.
- Experience in care/case management required..
- A combination of experience, education and training which substantially demonstrates knowledge, skills and abilities as a leader able to rapidly lead change in a complex healthcare environment across multiple disciplines and departments preferred.
Demonstrated ability to effectively design and implement quality management operations.
Knowledge of project management principles.
Knowledge of care coordination and health home principles.
Language Skills: Ability to read, analyze, and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints. Ability to write reports that present data and other information in a logical and cogent manner. Ability to make clear, concise and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and/or boards of directors.
Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Reasoning Ability:Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel and reach with hands and arms.
While performing the duties of this Job, the employee is frequently required to talk or hear.
Specific vision abilities required by this job include close vision and peripheral vision.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Heartland Alliance makes all hiring and employment decisions, and operates all programs, services, and functions without regard to race, receipt of an order of protection, creed, color, age, gender, gender identity, marital or parental status, religion, ancestry, national origin, amnesty, physical or mental disability, protected veterans status, genetic information, sexual orientation, immigrant status, political affiliation or belief, use of FMLA, VESSA, military, and family military rights, ex-offender status (depending on the offense and position to be filled), unfavorable military discharge, membership in an organization whose primary purpose is the protection of civil rights or improvement of living conditions and human relations, height, weight, or HIV infection, in accord with the organization's AIDS Policy Statement of September 1987.
