Nurse Director Quality Risk Management

Are you an exceptional strategist with a fervor for advancing healthcare? Do you excel at navigating multifaceted challenges and steering the future of healthcare delivery? As the Director of Care Management RN, you will be pivotal in executing our strategic vision. Anchored in the dynamic city of Eureka, you will collaborate with our executive team and key leaders to sculpt the future of healthcare within the region. Your leadership will encompass strategic oversight and operational management of care management functions across acute care ministries, including case management, utilization management, discharge planning, and social work services. You'll ensure seamless care transitions, optimal patient outcomes, and adherence to regulatory standards, while nurturing partnerships with medical staff and community allies. Your guidance will be instrumental in driving performance through strategic planning, data-driven insights, and continuous improvement efforts aligned with organizational goals and the Quadruple Aim. Formulate and execute annual strategic and operational plans that integrate clinical, administrative, and financial objectives. Operational Leader: Direct and oversee care management, utilization management, discharge planning, and psychosocial interventions. Cultivate robust relationships with physicians, nursing, and other departments to guarantee seamless care transitions. Performance Analyst: Track and assess utilization trends, avoidable days, and performance metrics; Compliance Guardian: Ensure adherence to all regulatory, accreditation, and payer requirements. Financial Steward: Manage operational and capital budgets; ensure ongoing education and performance evaluations. Community Liaison: Act as a liaison for community care partners to uphold continuity of care. Quality Advocate: Lead quality improvement initiatives to enhance patient experiences and outcomes. Reporting Specialist: Provide regular updates to regional and ministry leadership on care management performance. Learning Champion: Promote a culture of learning and excellence, fostering continuous professional development of staff and self. Committee Contributor: Participate and chair (co-chair) hospital/medical staff committee meetings as required. Educational Background: Bachelor's Degree in Nursing required; Master's Degree in Nursing or related healthcare field from an accredited program (Preferred). Experience: 5 years of relevant experience in an acute healthcare setting in care management, coupled with 3 years of progressive leadership experience. California Registered Nurse License upon hire. Leadership abilities consistent with the mission, vision, and values of the Health System. Principles and practices of acute care case management and evidence-based care. Strong leadership, strategic thinking, team-building skills; effective communication, negotiation, and relationship-building abilities. Technical Skills: Proficiency in Microsoft Office Suite and familiarity with case management software. Regulatory Acumen: Knowledge of requirements and eligibility parameters for payers, MediCal, and Medicare. Capacity to manage multiple priorities and adapt to changing conditions. Strong foundation of clinical assessment skills for managing care of clients with complex medical, emotional, and social needs. Impactful Work: Be part of an organization transforming healthcare and enhancing countless lives. Ready to Shape the Future of Healthcare? If you're a visionary leader passionate about healthcare, we encourage you to apply! 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. Posted are the minimum and the maximum wage rates on the wage range for this position. 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