Two legacies of caring.
One ministry of change.
CommonSpirit was created by the alignment of Catholic Health
Initiatives and Dignity Health as a single ministry in early 2019.
More than 150,000 physicians, nurses, caregivers, and other staff
are employed by CommonSpirit Our hospitals and care centers cover
21 states. CommonSpirit has the size and ability to scale
best-in-class clinical service lines; recruit and retain top
talent; standardize operations to improve quality and reduce the
cost of care; and advocate more effectively for all people,
especially those who are poor and vulnerable. For more information,
please visit our website at www.commonspirithealth.org. You can
also follow us on Twitter and Facebook.
The incumbent is accountable for all of the supervisory,
administrative and operational functions of the Care Coordination
Remote Services (CCRS). This working Supervisor position oversees
compliance with Medicare 1 Day Stay audits; Serves as a liaison
between CCRS and participating CommonSpirit Health facilities,
nursing leadership or their designee, medical staff, physicians and
acute care staff. The incumbent facilitates performance improvement
activities, monitors competency of all staff and ensures timely
reviews are completed for the CCRS staff.
Essential Key Job Responsibilities:
- Under the direction of the System Director of Operations,
oversees and supervises daily operations of CCRS.
- Provides administrative and Leadership support for CCRS and
- Collaborates and streamlines relationship and CCRS process with
participating hospitals, hospital staff and CCRS department
- Collects objective/subjective data for CCRS program
- Collaborates to identify and implement cost of healthcare
- Promotes effective communication and relationships.
- Participates in activities that promote professional growth and
development and maintains current knowledge base in all areas of
- Keeps abreast of current legal, accreditation, and regulatory
requirements and applying into relevant standards and appropriate
policies and procedures for CCRS and licensed staff.
- Maintains channels of communication between and among entities
throughout the network of participating CCRS hospitals, which
encourages interdisciplinary cooperation, respect, and support CCRS
operations and operations of any new related CCRS program.
- Interacts with and maintains a supportive role with hospital
leadership, Hospital Case Management, Hospital Medical staff and
Hospital Emergency Department staff.
- Supports the System Director in the management of the CCRS
- Seeks input from and provides education to CCRS staff and
- This supervisor would need to spend 30% of time performing
Medicare 1 Day Stay audits.
The job summary and responsibilities listed above are designed
to indicate the general nature of the work performed within this
job. They are not designed to contain or be interpreted as a
comprehensive inventory of all job responsibilities required of
employees assigned to this job. Employees may be required to
perform other duties as assigned.
Education and Experience:
- BSN Preferred
- Bachelor's degree and min. of 1 year of experience in
discipline OR 3 years' experience in discipline OR Master's Degree
and no experience required.
- Strong clinical background
Licensure and Certifications:
Knowledge, Skills, Abilities and Training:
- Strong clinical background and knowledge
- Clinical process redesign experience, Process improvement and
mapping skills, knowledge of Managed Care, Population Management
and Utilization Management
- Principles of integrated healthcare, basic financial
- CMS, DMHC, and JCAHO, state and federal regulations affecting
population, utilization, and case management
- Shall comply with all applicable laws and rules including the
Common Spirit Health Standards of Conduct and policies and
procedures that apply to his/her job responsibilities, seek
guidance when in doubt, promptly report any potential or suspected
violation of Standards of Conduct, policy or procedure or
applicable laws/regulations and when requested, assist staff in
investigating all allegations of violation.
- When called upon, shall assist in risk evaluation and work
collaboratively with facility/entity leaders to implement, monitor
and mitigate risk corrective plans outlined by the Compliance
Summary of Essential Cognitive Functions:
Ability to comprehend and follow instructions; maintain
attention and concentration for necessary periods; synthesize,
coordinate, and analyze data, perform simple and repetitive tasks;
maintain a work pace appropriate to given work load; perform
complex and varied tasks; relate to other people beyond giving and
receiving instructions; get along with co-workers and peers;
understand the meaning of words and how to use them appropriately
and effectively; understand and remember detailed instructions;
make independent decisions or exercise judgment based on
appropriate information; accept and carry out responsibility for
direction, control and planning.
Corporate Responsibility Statement:
Incumbent will promote and protect CommonSpirit Health's
integrity, and understand and accept any consequences for failure
to comply with the following:
Incumbent will know and comply with applicable rules and
regulations including applicable Federal health care program
requirements, the CommonSpirit Health Standards of Conduct: Our
Values in Action Reference Guide, and CommonSpirit Health policies
and procedures. Incumbent will also comply with CommonSpirit
Health's Conflicts of Interest policy, completing the annual
conflicts of interest disclosure as necessary, and promptly notify
management and fully disclose at any time in which there is a
potential for a conflict of interest.
Incumbent will take responsibility for his/her actions, seek
guidance for, and promptly report any suspected violation as
provided in the Standards of Conduct and CommonSpirit Health
policies and procedures. Incumbent will maintain the highest
standards of business ethics and integrity, including representing
CommonSpirit Health in a positive way, display honesty in all
dealings, and ensure confidentiality of all proprietary and
operational information in accordance with laws, regulations and
policies. Incumbent will maintain the confidentiality and integrity
of all patients' Protected Health Information in accordance with
HIPAA and HITECH regulations and CommonSpirit Health policies and
procedures. Incumbent will maintain appropriate records and
documentation pertinent to the client/patient/staff and department
operation applicable to his/her role. Incumbent will complete all
mandatory education on time, and will cooperate in investigation
matters as requested.