[Hiring] Director of Care Transitions @Alliance

Role Description

The Director of Care Transitions serves as the primary program lead for the Facility-Based Care Management team within the Care Management department. The Director is responsible for directing the specialized support provided to members with complex physical and behavioral health needs while transitioning between care facilities. This position ensures clinical and operational excellence in care transition activities, focusing on maintaining continuity of care across various healthcare settings and provider models. The successful candidate will work a primarily remote schedule, with occasional office visits for business and team meetings as needed.

Responsibilities & Duties

• Manage and Develop Staff
  • Work with Human Resources to attract, maintain, and retain a highly qualified and well-trained workforce.
  • Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes.
  • Provide direct clinical and administrative supervision of team members, including routine clinical review of cases and advising team members regarding outreach to network providers.
  • Organize workflows and ensure staff understand their roles and responsibilities.
  • Ensure the department has the needed tools and resources to achieve organizational goals and support employees.
  • Actively establish and promote a positive, diverse, and inclusive working environment that builds trust.
  • Ensure all staff are treated with respect and dignity.
  • Ensure standards are transparent and applied consistently, impartially, and ethically.
  • Work to resolve conflicts and disputes, ensuring that all participants are given a voice.
  • Set goals for performance and deadlines in line with organizational goals and vision.
  • Effectively communicate feedback and provide ongoing coaching and mentoring to staff.
  • Cultivate and encourage efforts to expand cross-team collaboration and partnership.
• Oversee Department/Unit Operations
  • Guide efforts of care teams in supporting members with service engagement and assessing impact on social determinants of health.
  • Monitor program dashboard and departmental reports, responding to identified risks.
  • Oversee development of educational materials for members regarding physical and behavioral health services.
• Program Leadership & Clinical Oversight
  • Lead the Facility-Based Care Management team in supporting members with complex health needs.
  • Establish behavioral and physical health outcome targets for Facility Based Care Managers.
  • Manage specialized transition initiatives for facility-based members.
• Care Transition Management
  • Oversee all Plan-to-Plan and PLE-to-PLE transition activities.
  • Ensure continuity of care and minimize service gaps during member transitions.
• Strategic Alignment & Collaboration
  • Coordinate with Provider Network Directors to align physical health outcomes with Care Management Agencies and Advanced Medical Homes.
  • Collaborate interdepartmentally to implement a cohesive, whole-person care model.
  • Align departmental processes to ensure coordinated service delivery for both members and staff.
• Develop Policies, Procedures, Processes, and Workflows
  • Use a care management approach when developing policies, procedures, and workflows.
  • Collaborate with Medical Management team on clinical decision-making workflows.
  • Develop workflows and collaborate across departments to understand data related to physical health care risk.
• Collaborate with Internal Departments and External Stakeholders
  • Represent the Transition of Care in performance discussions with network providers.
  • Lead consultation and outreach to community-based physical and behavioral health providers.
  • Maintain effective interpersonal relations with Alliance staff, providers, partners, and community stakeholders.

Qualifications

• Master's degree from an accredited college or university in mental health, public health, social work, psychology, education, sociology, business, or public administration and five (5) years of experience in health-related fields, including three (3) years of supervisory experience;
• Or graduation from an accredited school of nursing and seven (7) years of experience in health-related fields, including three (3) years of supervisory experience.
• Active NC Clinical License LCSW, LMFT, LCMHC, LPA, or RN is required.

Preferred

• Experience in a physical health and/or behavioral health setting working with diverse populations.
• Experience in Utilization Management or discharge planning.

Knowledge, Skills, & Abilities

• Thorough knowledge of discharge planning and services for individuals with various health needs.
• Knowledge of whole person care and population health approaches to care management.
• Problem solving and program analysis skills for implementation and evaluation of programs.
• Proficient with Microsoft Office and familiarity with data analytics programs.
• Strong oral and written communication skills.
• Change Management skills.
• Exceptional interpersonal skills.
• Detail oriented and able to manage multiple tasks and priorities under pressure.
• Ability to build and maintain positive relationships with internal and external stakeholders.

Salary Range

$119,264 - $152,062/ Annual. Exact compensation will be determined based on the candidate's education, experience, external market data, and consideration of internal equity.

Benefits

• Medical, Dental, Vision, Life, Long Term Disability.
• Generous retirement savings plan.
• Flexible work schedules including hybrid/remote options.
• Paid time off including vacation, sick leave, holiday, management leave.
• Dress flexibility.

Want to learn more about what it's like to work as part of the Care Management Team? Click on our video to learn more: Watch here .