DescriptionJob Summary
Case Management Director-RN oversees a staff of case management RNs LPNs Social Workers and/or Case Management Assistants responsible for patient care coordination discharge planning utilization review and social services. The director ensures alignment of objectives and initiative to support organizational goals. A Case Management Director-RN evaluates patient care data to ensure that care is provided in accordance with clinical guideline and organizational standards.
Responsibilities
- Oversees transition management and discharge planning to promote length of stay care coordination and patient flow.
- Ensures consistency in workflows documentation quality and outcomes of the department.
- Participates and supports readmission reduction strategies.
- Contributes to overall quality patient satisfaction and financial goals.
- Works with medical staff nursing administration and other disciplines to improve care reduce waste increase efficiency and achieve optimal outcomes.
- Supports revenue cycle activities supporting utilization review medical necessity payor requirements and denial prevention.
- Ensures compliance with state and federal regulatory requirements TJC accreditation standards and CMS requirements.
- Accountable for budgeting and financial performance of the department.
- Interviews hires trains and supervises of all employees of the department.
- Provides opportunity for professional growth through continued education and training.
- Performs other duties as assigned while supporting the mission vision and values to enhance quality utilization service delivery and customer satisfaction.
Specifications
Experience
Minimum Required
- 5 years acute care nursing; 2 years of case management
Preferred/Desired
Education
Minimum Required
- Bachelors Degree as Registered Nurse
Preferred/Desired
- Masters degree as Registered Nurse
Training
Minimum Required
Preferred/Desired
Special Skills
Minimum Required
Preferred/Desired
Licensure
Minimum Required
- Current RN licenses in state which practicing
Preferred/Desired
Required Experience:
Director
DescriptionJob SummaryCase Management Director-RN oversees a staff of case management RNs LPNs Social Workers and/or Case Management Assistants responsible for patient care coordination discharge planning utilization review and social services. The director ensures alignment of objectives and initia...
DescriptionJob Summary
Case Management Director-RN oversees a staff of case management RNs LPNs Social Workers and/or Case Management Assistants responsible for patient care coordination discharge planning utilization review and social services. The director ensures alignment of objectives and initiative to support organizational goals. A Case Management Director-RN evaluates patient care data to ensure that care is provided in accordance with clinical guideline and organizational standards.
Responsibilities
- Oversees transition management and discharge planning to promote length of stay care coordination and patient flow.
- Ensures consistency in workflows documentation quality and outcomes of the department.
- Participates and supports readmission reduction strategies.
- Contributes to overall quality patient satisfaction and financial goals.
- Works with medical staff nursing administration and other disciplines to improve care reduce waste increase efficiency and achieve optimal outcomes.
- Supports revenue cycle activities supporting utilization review medical necessity payor requirements and denial prevention.
- Ensures compliance with state and federal regulatory requirements TJC accreditation standards and CMS requirements.
- Accountable for budgeting and financial performance of the department.
- Interviews hires trains and supervises of all employees of the department.
- Provides opportunity for professional growth through continued education and training.
- Performs other duties as assigned while supporting the mission vision and values to enhance quality utilization service delivery and customer satisfaction.
Specifications
Experience
Minimum Required
- 5 years acute care nursing; 2 years of case management
Preferred/Desired
Education
Minimum Required
- Bachelors Degree as Registered Nurse
Preferred/Desired
- Masters degree as Registered Nurse
Training
Minimum Required
Preferred/Desired
Special Skills
Minimum Required
Preferred/Desired
Licensure
Minimum Required
- Current RN licenses in state which practicing
Preferred/Desired
Required Experience:
Director
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