Vp Case Resolution Specialist Jobs (NOW HIRING)

We are hiring an Assistant Vice President, Case Management

Your experience matters 

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. 

More about our team 

The AVP (Assistant Vice President), Case Management is responsible for providing support, service, leadership, and oversight for critical aspects of patient case management performed by affiliated entities ensuring regulatory compliance, developing and implementing educational resources, and providing standardized leading practice to the field.

The position primarily serves internal co-workers and has access to and/or works with sensitive and/or confidential information.

Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA).  Skilled in the application of policies and procedures. Knowledge of Business Office Standards and Recommended Practices.

How you'll contribute 

An Assistant Vice President, Case Management, who excels in this role will:

• Support and assist Case Management/Care Coordination/Transition of Care and resource utilization efforts throughout the LifePoint System to improve care processes and patient outcomes.

• Collaborate and coordinate with the National Medical Director to develop and implement the Hospital Support Center (HSC) care management strategy for the Company and respective divisions of facilities. 

• Evaluate pertinent Case Management metrics within division facilities, identify opportunities for improvement, and facilitate actions to address the priorities at the facility or division level.

• Conduct onsite Case Management programs assessments with facilities and potential new affiliates; Work with hospital Case Management and leadership teams to track, trend, educate/train, monitor, and develop effective corrective action plans

• Maintain open communication with Health Support Center (HSC) division and department leadership team regarding performance of individual hospitals, gathering feedback for further improvement opportunities and strategies.

• Collaborate with internal HSC departments to develop and present targeted education to optimize compliance with regulatory and payer requirements which promote high-quality, cost-effective care. 

• This position will oversee the work of others as deemed necessary and appropriate by the National Medical Director.

• Regular and reliable attendance.

• Perform other duties as assigned.

Why join us 

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: 

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for  
Applicants should have a current state RN license and possess a bachelor's degree from an accredited nursing school. Additional requirements include:

• Education: Bachelor's Degree in Nursing; Master's Degree preferred.

• Experience: Minimum of 7 years of experience with 2-3 years as Director, Case Management.

• Certifications: Certified CaseManagement (CCM) or Accredited Case Manager (ACM)

• Licenses: Current licensure as a Registered Nurse in state of residence.

• Ability to travel up to 50% 

Supervisory Responsibilities:

Manage the work of others, including planning, assigning, scheduling and reviewing work, ensures quality standards. Responsible for engagement with hiring, training and developing, reviewing performance and administering corrective action for staff.

Skills and Abilities:

Business Mathematical Skills -- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages and to draw and interpret graphs.

Moderate Computer Skills -- Frequent use of electronic mail and virtual communication interfaces (e.g., Microsoft Teams, Zoom), word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives.

Complex Communication -- Frequently communicates complex information and interacts with management. Can present, resolve, and address delicate situations. Can motive and persuade others. 

Varied Business Problems -- Problems are varied and complex, requiring analysis or interpretation of the situation. Problems are solved using knowledge and skills, general precedent and practices. 

Department Specific -- Decisions impact the management and operations within a department. May contribute to business and operational decisions that affect the department.

Functional Independent Judgement -- Provides and sets goals and priorities for functional area. May make recommendations for department policies, practices, and programs. Makes decisions for and/or resolves problems for others. 

Project Planning/Organization -- Handle multiple projects simultaneously including task delegation, project oversight, and resource allocation.

EEOC Statement

"Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

You must be authorized to work in the United States without employer sponsorship.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.