Duke University Health System (DUHS) Job Descriptions
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ASSIST VP, CARE COORD, DUHS
Job Title: ASSIST VP, CARE COORD, DUHS
Job Code: 5564
FLSA: E
Job Level: L1
Revised Date: 07/01/2022
Supervisory Responsibility: Yes
General Description of the Job Class
The Assistant Vice President, Care Coordination (DUHS), is responsible for determining the strategic vision and priorities for DUHS ensuring direct alignment with the business strategy. Areas of oversight include Case Management, Utilization Management, and Clinical Social Work at the three acute care hospitals (Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital) and ambulatory settings across the enterprise. Responsible for planning, directing, and coordinating initiatives around the finance and growth, quality/patient safety, patient experience, work culture, and physician integration and consistency of practice for the integrated case management service across the system.
Duties and Responsibilities of this Level
The Assistant VP will interface and foster collaboration with leadership and front line team members across DUHS, execute organizational development strategy, and drive change initiatives across the system in order to optimize organizational potential and ensure an integrated approach to providing clinical care while achieving strategic business and operational objectives.
This position will lead the service line in achieving strong financial performance by generating new revenue, containing costs, and increasing the quality of care and service offered to patients and maximizing reimbursement while effectively managing the operations and complex initiatives designed to build a best-in-class team.
Will oversee all facets of human resource management and provide administrative direction to management staff within areas of responsibility including supporting plan development, priority-setting, decision-making, and professional development.
Maintain compliance with all relevant legislative and regulatory rules and requirements established by state and federal agencies as well as those of voluntary accrediting bodies to ensure continued compliance.
Required Qualifications at this Level
Education
Master's Degree in Nursing, Social Work, Health Administration, or related discipline. If a Registered Nurse, BSN or MSN degree is required.
Experience
7 years of progressive clinical/operational leadership experience that provided the opportunity to manage a variety of patient care services in a complex healthcare environment inclusive of an acute care setting. A minimum of 5 years of Director/Manager level experience in Case Management including Utilization Review experience is required.
Experience in a variety of healthcare settings, from acute care inpatient facilities to outpatient clinics, is preferred.
Degrees, Licensure, and/or Certification
Current, unencumbered North Carolina RN or Social Work license.
Certification in case management, managed care, and/or utilization management is required.
Knowledge, Skills, and Abilities
Ability to lead effectively in a matrixed organization requiring high levels of collaboration, sound judgment and significant operational and practice management expertise. Knowledge of physician practice management, clinical operational issues and research practice that contribute to effective and efficient care structures and processes. Knowledge of health care payment systems and sound financial management practices. Knowledge of relevant legislation and regulation. Demonstrate a high level of responsibility, ethical practice, sensitivity to a diverse patient population and adherence to legal and regulatory requirements. Build strong performance around quality and patient experience and continually drive for improvement. Assure effective communication of initiatives within and across relevant internal and external audiences. Strong analytical and relationship building skills to develop an agenda for system-wide innovative organizational improvement.
Strong communication and relationship-building skills with all levels of employees, management and community leaders and a proven leader who is an effective, creative and visionary problem solver. A proven leader of people, able to recruit, develop and mentor a top-notch team capable of supporting future growth and has demonstrated leadership in promoting diversity and inclusion in the workplace and community.
Understanding of PDCA and LEAN quality improvement methodologies.
Knowledge of regulatory requirements and quality metrics for Population Health, all levels of post-acute care, Behavioral Health, Home Health, and other care management settings across the care continuum.
Knowledge of industry issues, demonstrated experience and results in areas such as "2nd Curve" (transition from volume based to value based economics), accountable care and insurance/population risk models and shift in healthcare delivery from hospital to ambulatory settings, including home, with growth of same-day surgeries and telehealth.
Distinguishing Characteristics of this Level
N/A
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
