Director Care Coordination

Where You’ll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Job Summary and Responsibilities

The Director of Care Coordination is responsible for the implementation, evaluation and direction of Care Coordination in support of the CommonSpirit Health Care Coordination model.  The leader has oversight of clinical resource management, progression of care, discharge planning activities, patient advocacy and clinical social work.  In collaboration with the National Market Director Care Coordination, the CC Director develops strategies to achieve departmental and CommonSpirit Health goals and objectives.

This position direct the CC staff to meet or exceed operational performance standards.  The Director oversees the implementation of CC policies, procedures and processes; directs and assists with accreditation activities; management of progression of care, addresses psycho-social needs; and, compliance with payer and regulatory requirements to achieve Care Coordination program outcomes and quality metrics.

Essential Key Job Responsibilities

• Provides strong leadership and direction to the care coordination department, including staff supervision, team building, and performance management.
• Develops, implements, and evaluates care coordination programs and strategies to optimize patient care, resource utilization, and quality outcomes that align with system-wide Care Coordination.

• Ensures that the care coordination department adheres to all relevant healthcare regulations, accreditation standards, and organizational policies.
• Oversees the daily operations of care coordination, including staff supervision, budget management, and resource allocation in alignment with organizational goals.
• Leads improvement groups and collaborates with healthcare providers, insurance companies, and other internal and external stakeholders to coordinate patient care and facilitate communication across the care continuum.
• Monitors and analyzes data related to care coordination activities, patient outcomes, and resource utilization to drive decision-making and improvements.
• Trains and evaluates care coordination staff to ensure they are aware of and implementing system initiatives, possess the skills and knowledge necessary for effective performance and completion of required education.

Job Requirements

Required Education and Experience

• Bachelor's Degree in Nursing (e.g. BSN) or Masters in Social Work or equivalent education and experience
• Minimum of 5 years of clinical care coordination experience.  (Utilization Management, Denial Management, Case Management, Care Coordination) or 5 years of progressively responsible healthcare management experience.
• Extensive operational experience, program planning, implementation, staff development, and needs assessment in healthcare environment.
• Comprehensive knowledge of care coordination and discharge planning

Required Licensure and Certifications

• Current unrestricted RN license where practicing required or clinical SW license
• WA: Licensed independent Clinical Social Worker (LICSW)
• National certification in either of the following:  CCM (Certified Case Manager), ACM (Accredited Case Manager) required or within 2 years upon hire. 

Preferred Education and Experience

• Master's degree in Nursing, Health Care Administration or related clinical field preferred.
• Experience with data analytics related to include cost containment, over/under utilization assessment and clinical outcomes.