Director of Care Coordination, Care Coordination, Full-Time, Days

ABOUT MARINHEALTH
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. 

MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. 

Company:

Compensation Range:

Work Shift:

Scheduled Weekly Hours:

Job Description Summary:

Job Requirements, Prerequisites and Essential Functions:

Job Specifications:

Education

• Bachelor of Science in Nursing (BSN) required.
• Master’s degree in nursing, Health Administration, Business Administration, or a closely related healthcare field highly desired.

Experience

• Minimum five (5) years of experience in an acute healthcare setting required.
• Minimum five (5) years of progressively responsible leadership/administrative experience in Case Management, Care Coordination, Utilization Management, or a closely related function required.
• Demonstrated experience leading interdisciplinary clinical/operational programs, staff, performance improvement, and regulatory or accreditation readiness.

Licenses & Certifications

• California RN license (RN) required at hire.
• Basic Life Support (BLS) required at hire.
• Case Management certification (e.g., CCM or ACM) preferred.
   

Prerequisite Skills

• Advanced knowledge of case management, care coordination, utilization management, discharge planning, patient progression, and transitions of care in an acute-care environment.
• Knowledge of applicable healthcare regulatory, accreditation, payer, medical necessity, documentation, privacy, quality, and patient-rights requirements.
• Demonstrated ability to lead managers and/or professional staff, manage change, coach performance, resolve complex problems, and build accountable teams.
• Ability to analyze clinical, operational, quality, utilization, financial, and workforce data and translate findings into measurable improvement plans.
• Demonstrated budget, staffing, productivity, and resource-management capability.
• Strong written, verbal, interpersonal, facilitation, negotiation, and executive communication skills.
• Proficiency with electronic health record, care management/utilization management, analytics, and standard productivity systems applicable to the role.

Primary Customer Served (Age Specific Criteria):

• Primary populations served may include adolescents (12 to <18), adults (18 to <65), and older adults (65+), consistent with the services supported by Care Coordination.
• Provides leadership for services supporting adolescent, adult, and older adult populations served by the assigned Care Coordination function.
• Demonstrates and ensures staff competency appropriate to the physical, psychosocial, educational, cultural, developmental, safety, and transition-of-care needs of the populations served.

• (X) Infants: Birth up to 1 year
• (X) Toddlers: 1 up to 3 years
• (X) Preschool Children: 3 up to 6 years
• (X) School Age Children: 6 up to 12 years
• (X) Adolescents: 12 up to 18 years
• (X) Early Adults: 18 up to 45 years
• (X) Middle Adults: 45 up to 61 years
• (X) Late Adults: 61 up to 80 years
• (X) Late, Late Adults: 80 years and up 

Patient Privacy (HIPAA Compliance):

• This role requires access to protected health information (PHI) necessary to perform assigned Care Coordination leadership responsibilities. Access must be limited to the minimum necessary to perform assigned duties and managed in accordance with HIPAA, applicable privacy/security requirements, and MarinHealth policy.
• Maintains confidentiality of patient, family, employee, payer, and organizational information and ensures staff follow applicable privacy, security, documentation, and information-sharing requirements.
• Ensures appropriate use, disclosure, storage, and escalation of privacy or security concerns involving patient information within the department’s scope.

Duties And Responsibilities:
Essential Duties (Not Modifiable)

• Provides strategic and operational leadership for care coordination, case management, utilization management, discharge planning, and assigned psychosocial care coordination functions.
• Establishes, monitors, and advances department goals related to patient progression, length of stay, avoidable days, readmissions, denials, discharge timeliness, safe transitions, quality, patient experience, and other organizational priorities.
• Develops, coordinates, and evaluates care coordination processes across the continuum from preadmission, when applicable, through hospitalization, discharge, and transition to post-acute or community services.
• Ensures discharge planning processes identify patient and family needs, barriers to transition, post-hospital service requirements, education needs, and appropriate resources in a timely and patient-centered manner.
• Oversees utilization management/review processes within assigned scope, including medical necessity, level-of-care review, payer requirements, documentation, escalation, denial prevention, and related performance improvement.
• Partners with physicians, Nursing, Social Work, Revenue Cycle, Health Information Management, ancillary departments, and external partners to improve clinical and administrative coordination of care.
• Uses data to identify trends, variation, barriers, and opportunities; establishes measurable action plans and evaluates whether interventions produce sustained improvement.
• Leads quality assessment and performance improvement activities related to Care Coordination and participates in organizational quality, patient flow, utilization, and operational governance as assigned.
• Ensures department policies, procedures, workflows, and practices remain aligned with applicable law, regulation, accreditation standards, payer requirements, professional standards, and MarinHealth policy.
• Provides leadership for recruitment, selection, onboarding, competency, development, coaching, performance evaluation, corrective action, retention, and succession planning for assigned staff in partnership with Human Resources.
• Establishes clear performance expectations and holds leaders and staff accountable for quality, service, productivity, documentation, compliance, teamwork, and C.A.R.E.S.-aligned behaviors.
• Develops and monitors staffing plans, operational budgets, capital needs, productivity, and resource utilization; implements appropriate actions to support financial and operational stewardship.
• Maintains effective relationships with post-acute providers, community agencies, payers, and other external partners necessary to support continuity and coordination of care.
• Escalates significant patient safety, compliance, capacity, access, financial, or operational risks through appropriate leadership channels and ensures follow-through on corrective actions.
• Performs other duties reasonably related to the responsibilities and operational needs of the position.
   

Secondary Duties (Modifiable)

• Participates in committees, task forces, work groups, and organizational initiatives as assigned.
• Leads or supports special projects and other related responsibilities consistent with the scope and level of the position.

Accommodation:

Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org.

C.A.R.E.S. Standards:

MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues.

Health & Immunizations:

To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law.

Compensation:

The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements.

Equal Employment:

All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.