ED, Hospital Care Coordination

Job Summary:
The ED, Hospital Care Coordination provides leadership, direction, and oversight of all continuing care activities in the hospital/inpatient setting. This position serves in a key leadership capacity for an optimal approach to the management, delivery and value realization of strategic initiatives related to the efficient and effective care coordination for KP members served in hospitals. The position is accountable for implementing initiatives that ensure care without delay standards and processes are consistently delivered for desired optimal results. The role works closely with and coordinates with national and regional executives to provide project/program management delivery, consulting, performance improvement, change management and business analytic support for program wide strategic initiatives that positively impact the organization. This position is responsible for establishing efficient and organized processes to support excellent quality and service. Partners with other leaders from the Health Plan and MAMPG to ensure execution of program goals and key performance indicators.

Essential Responsibilities:

• Leads the development and enterprise-wide implementation of strategies to improve acute care coordination and reduction of hospital admissions, ensuring benefit realization through improved quality outcomes, efficiency, and timely transitions of care.
• Drives execution of complex, cross-functional programs that enhance care without delay performance and related outcome measures.
• Designs and implements workflows and processes that promote smooth transitions from inpatient settings, supporting the right care in the right venue at the right time.
• Organizes and leads multidisciplinary teams to advance strategic goals and improve care coordination across the continuum.
• Develops and manages strategic partnerships with hospital partners, providers, external vendors, and internal stakeholders to support care delivery goals.
• Collaborates with Continuing Care, Care Delivery, Health Plan, and MAPMG leaders to align on quality, cost, and operational strategies for inpatient care.
• Manages budget performance and implements cost-effective strategies to improve care quality and service delivery.

Basic Qualifications:

• Minimum ten (10) years of progressively relevant clinical and healthcare management experience.

Education:

• Bachelors degree in nursing or equivalent degree.

License, Certification, Registration:

• Registered Nurse License (Maryland) OR Compact License: Registered Nurse OR Registered Nurse License (Virginia) OR Registered Nurse License (District of Columbia)

Additional Requirements:

• Experience in hospital/acute care settings, specifically with hospital case management, care coordination and transitional care.
• Experience in consulting and leading multidisciplinary projects and teams with consistent record of achieving results. Includes skills and experience in process architecture, change management, and performance management.
• Excellent communication and presentation skills, both written and verbal, along with executive level interpersonal skills and the ability to work within a matrix environment.

Preferred Qualifications:

• N/A