Director - Doc. Quality and Care Transition

Overview

Director - Doc. Quality and Care Transition at Holy Cross Health.

Employment Type:

Full time.

Shift: Day Shift.

Location:

Holy Cross Health.

Join to apply for the Director - Doc. Quality and Care Transition role at Holy Cross Health.

Holy Cross Health is seeking a strategic and experienced Director of Documentation Quality and Care Transitions to lead a system-wide program focused on improving documentation, reducing readmissions, and optimizing resource utilization. This role is responsible for developing and directing initiatives that support denials prevention, clinical documentation improvement, palliative care, and care transitions. The Director will collaborate across departments and facilities to ensure high-quality, cost-effective care delivery aligned with the mission of Trinity Health and Holy Cross Health.

• Lead and manage integrated programs for documentation quality, readmission prevention, and care transitions across Holy Cross Hospital, Holy Cross Germantown Hospital, and Holy Cross Network.
• Supervise staff in areas including palliative care, clinical documentation improvement, denial prevention, and readmission management.
• Oversee compliance with regulations affecting patient status and insurance, and guide staff interactions with external agencies.
• Collaborate with the Medical Director of Care Management and other leaders to implement departmental policies and initiatives.
• Provide education and consultation to clinical staff, medical staff, patients, and families to support documentation and care transition goals.
• Analyze data at both individual and aggregate levels to identify trends and drive performance improvement.
• Promote quality outcomes, patient satisfaction, and cost-effective care through coordinated efforts and strategic planning.

• Education: Master’s degree or higher in a healthcare-related field (e.g., Nursing, Social Work, Healthcare Administration, Medicine) required.
• Licensure: Must maintain licensure recognized by the State of Maryland if trained in a clinical specialty.
• Experience: Minimum of 5 years in care management or a related field; at least 2 years of leadership experience in case management, utilization review, or a closely related area; experience with clinical documentation improvement initiatives strongly preferred.
• Skills: Extensive knowledge of payer mechanisms and clinical utilization management; strong interpersonal and team collaboration skills; proven ability to lead through influence and build effective relationships across all levels; familiarity with regulatory and accreditation standards related to discharge planning and resource utilization; proficiency in computer systems and data analysis tools.

• Strategic leadership role in a mission-driven healthcare organization.
• Opportunity to shape system-wide initiatives that improve care quality and efficiency.
• Collaborate with multidisciplinary teams across multiple facilities.

• Comprehensive benefit packages available, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from first day of employment.
• Work/Life balance with flexible schedules.
• Free onsite parking.
• Daily Pay Program.
• Our mission and core values motivate Holy Cross Health team members to support each other and deliver compassionate, person-centered care.

Pay rate: $54.94 - $82.40 per hour;
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may vary within the stated range based on location.

Holy Cross Health is a Catholic, not-for-profit health system serving Montgomery and Prince George’s counties, with a commitment to being the most trusted provider of health-care services in the area. Founded in 1963, Holy Cross Health is a member of Trinity Health. The network operates primary-care practices and a range of community-based services.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives each colleague brings. We are an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by law.