Dir Case Management
3 weeks ago
Position Summary
The Director of Case Management for Asante is responsible forplanning, administering, directing and coordinating all services provided within the framework of Utilization Resources (Utilization Review, Discharge Planning, Social Work, ED Case Management, Disability Liaison Services, Denial Management/Appeals) for the purpose of moving patients safely along the acute care continuum to the next appropriate lower level of care, in the most efficient and cost-effective manner possible, in compliance with the rules and regulations governing utilization of resources of Medicare/Medicaid/other government entitlement programs, insurance/managed care organizations, and various other programs/ resources, ensuring optimum health plan benefits for patients and providers.
As a Director of Case Management, you will have the opportunity to:
- Create a culture that fosters staff self-development and continued learning and ensure the competence of all staff is assessed, maintained, demonstrated, and improved continually.
- Support the strategic direction of the organization that fulfills the mission, vision, and values of Asante.
- Encourage feedback from internal and external customers, including patients/families, to monitor service effectiveness, identify problems with work processes, and ensure that all customer needs are met.
- Demonstrate commitment to performance improvement through active participation in system and departmental projects and by encouraging employee involvement.
- Assist in maintaining profitability of Asante through innovative and diligent application of sound utilization management principles.
- Maintain current awareness of all pertinent regulatory requirements and ensure those are implemented and updated as mandated and monitored for continued compliance.
Qualifications
Education
- Bachelor's degree in nursing, health care administration, business or allied health is required .
- Master's degree in healthcare management, business, nursing, or allied health field, preferred .
Experience
- Minimum 3 years of demonstrated managerial performance in utilization/case management setting, with emphasis on program development and budget preparation is required.
Licensure/Certifications
- RN: Registered Nurse (RN) by the Oregon State Board of Nursing (OSBN) or Licensed Clinical Social Worker (LCSW) required upon start
- CCM: Certified Case Manager by Commission for Case Manager Certification, preferred .
- CPUR: Certified Professional Utilization Review, preferred .
What We Offer
- Competitive starting wage.
- Comprehensive Total Rewards package including medical, dental, vision, and wellness; retirement plan with up to a 6% employer contribution; and a generous paid time off policy that increases with years of service.
- Tuition Reimbursement program.
Why Asante
Asante is more than a great hospital system in an amazing location. We are a community of passionate providers and service-focused caregivers who collaborate to deliver amazing patient outcomes; a place where titles don't matter as much as your creativity, drive, and passion. Our culture, values and people create an environment of sustained medical excellence. For more on our story and award-winning health care, click HERE .
More About Asante and Southern Oregon
Asante is a local, community owned and governed, not-for-profit organization that provides comprehensive health care services to more than 550,000 people in a nine-county area of Southern Oregon and Northern California. It includes Asante Ashland Community Hospital in Ashland, Asante Rogue Regional Medical Center in Medford, Asante Three Rivers Medical Center in Grants Pass, Asante Physician Partners throughout the Rogue Valley, and additional health care partnerships. Virtually all medical specialties and services are represented within an organization dedicated to providing exceptional care. With over 5,000 employees, Asante's entities offer outstanding opportunities for career advancement and professional growth. At Asante your work positively impacts your family, friends, neighbors, and the community. Experience the difference in how you work, how you live and how you connect.
At Asante we are defined by our values - traits that guide us as we serve patients and the community:
Excellence - Respect - Honesty - Service - Teamwork
Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.Learn More
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