Director of Care Coordination, Care Coordination, Full-Time, Days

• ABOUT MARINHEALTH
• Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.

MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.

Company:

Marin General Hospital dba MarinHealth Medical Center

Compensation Range:

$92.91 - $139.36

Work Shift:

8 Hour (days) (United States of America)

Scheduled Weekly Hours:

40

Job Description Summary:

• The Director, Care Coordination provides strategic, clinical, and operational leadership for MarinHealth's care coordination functions across the acute-care continuum. The Director is accountable for effective case management, utilization management, discharge planning, psychosocial coordination within assigned scope, and safe transitions of care. The role partners closely with physicians, Nursing, Social Work, Revenue Cycle, Health Information Management, ancillary departments, post-acute providers, payers, and community resources to support appropriate care progression, regulatory compliance, patient-centered outcomes, and responsible stewardship of resources.
• The Director establishes department goals and performance expectations; develops and evaluates programs, policies, workflows, staffing models, and quality initiatives; and uses clinical, operational, financial, and experience data to identify opportunities and sustain improvement. The Director is also accountable for people leadership, budget management, regulatory readiness, and a culture consistent with MarinHealth C.A.R.E.S. standards.

Job Requirements, Prerequisites and Essential Functions:

Job Specifications:

Education

• •Bachelor of Science in Nursing (BSN) required.
• •Master’s degree in nursing, Health Administration, Business Administration, or a closely related healthcare field highly desired.

Experience

• •Minimum five (5) years of experience in an acute healthcare setting required.
• •Minimum five (5) years of progressively responsible leadership/administrative experience in Case Management, Care Coordination, Utilization Management, or a closely related function required.
• •Demonstrated experience leading interdisciplinary clinical/operational programs, staff, performance improvement, and regulatory or accreditation readiness.

Licenses & Certifications

• •California RN license (RN) required at hire.
• •Basic Life Support (BLS) required at hire.
• •Case Management certification (e.g., CCM or ACM) preferred.

Prerequisite Skills

• •Advanced knowledge of case management, care coordination, utilization management, discharge planning, patient progression, and transitions of care in an acute-care environment.
• •Knowledge of applicable healthcare regulatory, accreditation, payer, medical necessity, documentation, privacy, quality, and patient-rights requirements.
• •Demonstrated ability to lead managers and/or professional staff, manage change, coach performance, resolve complex problems, and build accountable teams.
• •Ability to analyze clinical, operational, quality, utilization, financial, and workforce data and translate findings into measurable improvement plans.
• •Demonstrated budget, staffing, productivity, and resource-management capability.
• •Strong written, verbal, interpersonal, facilitation, negotiation, and executive communication skills.
• •Proficiency with electronic health record, care management/utilization management, analytics, and standard productivity systems applicable to the role.

Primary Customer Served (Age Specific Criteria):

• •Primary populations served may include adolescents (12 to
• •(X) Infants: Birth up to 1 year
• •(X) Toddlers: 1 up to 3 years
• •(X) Preschool Children: 3 up to 6 years
• •(X) School Age Children: 6 up to 12 years
• •(X) Adolescents: 12 up to 18 years
• •(X) Early Adults: 18 up to 45 years
• •(X) Middle Adults: 45 up to 61 years
• •(X) Late Adults: 61 up to 80 years
• •(X) Late, Late Adults: 80 years and up

Patient Privacy (HIPAA Compliance):

• •This role requires access to protected health information (PHI) necessary to perform assigned Care Coordination leadership responsibilities. Access must be limited to the minimum necessary to perform assigned duties and managed in accordance with HIPAA, applicable privacy/security requirements, and MarinHealth policy.
• •Maintains confidentiality of patient, family, employee, payer, and organizational information and ensures staff follow applicable privacy, security, documentation, and information-sharing requirements.
• •Ensures appropriate use, disclosure, storage, and escalation of privacy or security concerns involving patient information within the department’s scope.

• Duties And Responsibilities:
• Essential Duties (Not Modifiable)

• •Provides strategic and operational leadership for care coordination, case management, utilization management, discharge planning, and assigned psychosocial care coordination functions.
• •Establishes, monitors, and advances department goals related to patient progression, length of stay, avoidable days, readmissions, denials, discharge timeliness, safe transitions, quality, patient experience, and other organizational priorities.
• •Develops, coordinates, and evaluates care coordination processes across the continuum from preadmission, when applicable, through hospitalization, discharge, and transition to post-acute or community services.
• •Ensures discharge planning processes identify patient and family needs, barriers to transition, post-hospital service requirements, education needs, and appropriate resources in a timely and patient-centered manner.
• •Oversees utilization management/review processes within assigned scope, including medical necessity, level-of-care review, payer requirements, documentation, escalation, denial prevention, and related performance improvement.
• •Partners with physicians, Nursing, Social Work, Revenue Cycle, Health Information Management, ancillary departments, and external partners to improve clinical and administrative coordination of care.
• •Uses data to identify trends, variation, barriers, and opportunities; establishes measurable action plans and evaluates whether interventions produce sustained improvement.
• •Leads quality assessment and performance improvement activities related to Care Coordination and participates in organizational quality, patient flow, utilization, and operational governance as assigned.
• •Ensures department policies, procedures, workflows, and practices remain aligned with applicable law, regulation, accreditation standards, payer requirements, professional standards, and MarinHealth policy.
• •Provides leadership for recruitment, selection, onboarding, competency, development, coaching, performance evaluation, corrective action, retention, and succession planning for assigned staff in partnership with Human Resources.
• •Establishes clear performance expectations and holds leaders and staff accountable for quality, service, productivity, documentation, compliance, teamwork, and C.A.R.E.S.-aligned behaviors.
• •Develops and monitors staffing plan