District Director Clinical Resource Mgmt

Clinical Resource Management Director

Responsible for the operations for Clinical Resource Management Department. Accountable for leading the operations of the Clinical Excellence initiatives of the health system, and for oversight of the Case Management, Social Services, Utilization Review and Clinical Documentation Improvement functions of the acute care hospitals across the district. Provides oversight to ensure efficient and effective use of resources; appropriate placement of inpatients and transfer of patients from Palomar Health; flow of patients through the continuum of care; support from Social Services for mandatory reporting; ongoing review and improvement of clinical documentation of patient care; and, assistance to patients requiring social services to return to the community. Develops and mentors a high performing team for all areas of responsibility. Ensures financial viability by managing both applicable revenue and expenses with attention to supply cost utilization and a high level of productivity in cost centers under direct control. Coordinates directly with Managed Care Organizations and Palomar Health managed care and contract staff to ensure efficient care and appropriate reimbursement is received. Develops and implements cost saving measures associated with length of stay and appropriate utilization review.

Job Requirements

Minimum Education : Masters Degree in a related field or Masters Degree in progress with an expected completion date within 3 years of hire

Preferred Education : Not Applicable

Minimum Experience : 2-3 years

Preferred Experience : 3-5 years

Required Certification : Not Applicable

Preferred Certification : Certification in specialty area of practice or role

Required License : Valid Driver's License

Preferred License : Current CA RN License