Director of Case Management
Director of Case Management
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Title: Director of Case Management
Level: Senior
Reports To: Chief Financial Officer
Travel Required: No travel required
Visa Support: No visa sponsorships supported
-
Salary Range: $93272.00 - $125900.00 USD
-
Signing Bonus: Negotiable
-
Relocation Package: Partial
Job Description:
GENERAL SUMMARY OF DUTIES
The Director of Case Management is responsible for managing the implementation of the case management program at the hospital level. This includes overseeing the components and roles of inpatient case management which include care facilitation utilization management case management and discharge planning.
SUPERVISES:
Case Managers and Social Workers
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
-
Provide leadership education and supervision to Case Managers and Social Workers.
-
Monitor the Case Management Departments documentation to ensure compliance with regulatory standards.
-
Collaborate with the Chief Financial Officer and Quality Department to maintain quality improvement programs and data trends (e.g. Avoidable Days Readmissions).
-
Maintain skills in case management and utilization review to provide coverage for patient caseloads and staffing needs across the hospital.
-
Communicate with physicians regarding patient needs and assist with developing appropriate treatment plans level of care and bed placement.
-
Responsible for personnel actions including hiring performance appraisals employee schedules and maintaining payroll records in system.
-
Facilitate daily Multidisciplinary Rounds for collaboration with other disciplines to provide holistic patient care.
-
Participate in discharge planning and provide necessary education and resources for individual patients and families.
-
Actively participate in the Utilization Review Committee and Revenue Recycle Committee.
-
Promote efficient utilization of clinical resources and ensure the appropriate use of resources based on patient acuity.
-
Ensure compliance with Joint Commission CMS state and local regulations and internal/external guidelines.
-
Perform other duties as assigned.
KNOWLEDGE SKILLS & ABILITIES:
-
Strong understanding of payer requirements and discharge planning regulations.
-
Knowledge of Medicare managed care inpatient/outpatient care home health and case management.
-
Ability to collaborate effectively with healthcare professionals at all levels.
-
Knowledge of performance improvement concepts.
-
Strong communication skills self-motivated and able to work independently or as part of a team.
-
Proven ability to establish effective working relationships with physicians.
EDUCATION:
-
Graduate of a program of Registered Nursing.
-
Bachelor of Science in Nursing preferred.
EXPERIENCE:
-
Minimum of two years of experience in case management utilization management discharge planning or a related program.
-
Preferred two to three years of management experience with at least two years in hospital-based nursing.
CERTIFICATE/LICENSE:
-
Mandatory Reporter Child and Dependent Adult Abuse Certificates
-
Current RN license (or multistate license) valid in State.
Interview Steps:
-
Phone Interview
-
Onsite Interview
Company Culture & Perks:
Mission:
Making communities healthier
Vision:
We aim to create places where:
-
People choose to come for healthcare
-
Physicians and providers want to practice and
-
Employees want to work.
Core Values:
-
Champion patient care
-
Do the right thing
-
Embrace individuality
-
Act with kindness
-
Make a difference together
Benefits:
-
Dental Insurance
-
Medical Insurance
-
Vision Insurance
-
Life Insurance
-
Retirement
-
Paid Time Off
Employment Type
Full Time
