District Director Clinical Resource Mgmt

The District Director of Clinical Resource Management at Palomar Health is responsible for leading the operations of various crucial departments such as Case Management, Social Services, and Utilization Review. This leadership role emphasizes ensuring clinical excellence across acute care hospitals and developing strategies for efficient patient flow and resource utilization.

To qualify for the District Director Clinical Resource Management role at Palomar Health, candidates should hold a Master's Degree in a related field or be in progress toward one. Additionally, 2-3 years of experience in healthcare management is essential, while a California RN License is preferred but not mandatory.

The District Director plays a pivotal role in managing both revenues and expenses while focusing on cost utilization. By implementing cost-saving measures and ensuring appropriate resource management, the director contributes significantly to the financial sustainability of Palomar Health.

Essential skills for the District Director Clinical Resource Management role at Palomar Health include strong leadership abilities, excellent communication skills, proficiency in computer software for documentation, and a deep understanding of healthcare operations and patient flow management.

The District Director will collaborate closely with teams involved in Case Management, Social Services, Utilization Review, and Clinical Documentation Improvement. Additionally, this role requires interaction with Managed Care Organizations to ensure efficient patient care and reimbursement.

Palomar Health values innovation, quality care, and the well-being of both its patients and employees. As a District Director, you'll be part of a supportive environment that empowers you to make impactful decisions and foster excellence in clinical practices.

Expected duties include overseeing the Clinical Resource Management Department, managing operational efficiency, developing a high-performing team, coordinating with Managed Care Organizations, and ensuring clinical excellence and financial viability across acute care facilities.

When asked to describe your case management experience, focus on specific instances where you effectively managed patient care plans, worked as part of a multidisciplinary team, and improved patient outcomes. Discuss scenarios that illustrate your problem-solving skills and leadership in facilitating patient care transitions.

To effectively answer this question, share strategies you utilize to train your team on documentation best practices and how you conduct regular reviews to ensure fidelity. Highlight any software tools you use for auditing and tracking compliance.

Discuss the techniques you've employed to analyze patient flow data, collaborate with various departments, and implement changes that reduce delays. Mention specific results or improvements you were able to achieve in terms of patient turnover and satisfaction.

Illustrate your conflict resolution style by providing examples of how you effectively mediate disagreements. Highlight the importance of open communication and collaboration, and explain any frameworks you use to resolve team conflicts constructively.

When discussing your experience with managed care organizations, focus on instances where you've interacted with these entities for patient placements or contract negotiations. Mention how you’ve effectively navigated challenges to ensure high-quality care and appropriate reimbursement for services.

Explain your approach to team development, emphasizing the provision of training opportunities, individual coaching, and regular feedback. Share specific methods you've used to create an engaged and motivated team atmosphere.

Identify specific initiatives you've led that improved patient care or operational efficiency. Discuss the planning process, any innovations you introduced, and how you measured success post-implementation.

Discuss your experience in budget management, including tracking expenses, evaluating resource allocation, and implementing cost-saving measures. Provide examples of how balancing these aspects has led to improved department performance.

Use the STAR method (Situation, Task, Action, Result) to articulate a challenging project, emphasizing your leadership, strategic decision-making, and ability to adapt. Focus on the lessons learned and the positive outcomes that resulted.

Mention specific software and tools relevant to clinical documentation and reporting that you are experienced with. Discuss how you use these tools to enhance the accuracy and efficiency of clinical records within your teams.