Director, Care Management
4 weeks ago
JOB PURPOSE:
The Director Care Management is responsible for leading the hospitals Care Management
department, defining and maintaining standards of practice for service delivery and organizational
performance strategies consistent with PHCs Mission, Vision and Values, as well as those of the
individual hospital.
KEY RESPONSIBILITIES:
1. Provides performance improvement, operational, human resources and financial management of
the Care Management department.
2. Ensures that Care Management services, which include case management and social work, are
delivered in accordance with evidence-based guidelines, established standards of care practice
and performance, hospital policies and procedures.
3. Pursue strategies and day-to-day operations that promote quality patient throughput in a
resource/cost effective manner via effective care coordination and discharge planning.
4. Ensures that department operations and delivery align with PHC and industry quality standards.
5. Effectively promote Care Management practices as they relate to the use of software, e.g.,
InterQual, and IT systems, leveraging for information / data collection, analysis and reporting.
6. Monitor effectiveness by analyzing Average Length of Stay, Case Mix Index, avoidable days,
denials, and other key metrics.
7. Reports on regular basis with Chief Financial Officer regarding Care Management department.
8. Implements and ensures collaborative working relationship with hospital and PHC leadership,
the Utilization Management (UM) team and centralized functions, physicians, nursing, ancillary
services and other key stakeholders.
9. Works closely with UM leadership and Revenue Cycle to ensure issues are addressed in a
timely matter, and that functions & processes align.
10. Oversees monitoring of staff utilization based on workload, skill level, acuity and economic
constraints.
11. Participates in Director and Leadership activities for hospital and PHC.
12. Actively participates in strategic planning.
13. Ensures a safe work environment for CM staff.
14. Ensures appropriate training and resources are available to all staff within budgetary constraints,
and promotes professional growth of all staff.
15. Ensure that staff are consistently informed of departmental, hospital, PHC and general CM
issues.
16. Delegates responsibilities to appropriate personnel and ensures completion in a timely and effective
manner.
17. Notifies and consults with Risk Management as appropriate and per policy.
18. Provides leadership in recruitment and retention activities; performs or participates in screening,
interviewing and selection of employees.
19. Implements Human Resources policies for performance plans, deployment, severance, outplacement,
and other policies that support appropriate utilization of workforce resources.
20. Ensure that personnel and competency files are maintained in accordance with hospital, PHC, The
Joint Commission and industry standards.
21. Performs outreach activities with community based provider practices and agencies to promote care
coordination and support the CM departmental, hospital and PHC goals, as appropriate.
Qualifications:
MINIMUM EDUCATION REQUIRED:
Graduate from an accredited school of nursing or Bachelors degree in Social Work, Healthcare
Administration or other related field.
MINIMUM EXPERIENCE REQUIRED:
Seven (7) years of case management or social work experience in an acute care setting, to
include three (3) years of management experience in the acute setting.
Comprehensive knowledge of the healthcare industry, care coordination, familiarity with
government regulations, healthcare plans and utilization management.
Experience using InterQual or Milliman.
MINIMUM LICENSURE / CERTIFICATION REQUIRED BY LAW:
Licensure appropriate to the discipline.
ADDITIONAL QUALIFICATIONS:
Unrestricted registered nurse (RN) license, or eligible for RN licensure, in the state of Georgia or current
unrestricted licensed Master Social Worker (LMSW), or licensed Clinical Social Worker (LCSW) or eligible
for licensure, in the state of Georgia required.
Certification in Case or Care Management preferred.
Additional certification or Masters degree in healthcare administration and / or finance preferred.
-
Director of Care Management
4 weeks ago
Covington, United States Piedmont Newton Hospital Full timeCare Management Department OverviewThe Director of Care Management will lead the Care Management department at Piedmont Newton Hospital, defining and maintaining standards of practice for service delivery and organizational performance strategies consistent with the hospital's Mission, Vision, and Values.Key Responsibilities1. Provide performance...
-
Director of Care Management
4 weeks ago
Covington, Georgia, United States Piedmont Healthcare Full timeJob SummaryThe Director of Care Management at Piedmont Healthcare is responsible for leading the Care Management department, defining and maintaining standards of practice for service delivery and organizational performance strategies consistent with PHC's Mission, Vision, and Values. Key ResponsibilitiesProvides performance improvement, operational, human...
-
Director, Care Management
2 months ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
4 weeks ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
4 weeks ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
2 months ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
2 months ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
2 months ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director of Patient Care Services
3 weeks ago
Covington, United States Piedmont HealthCare Full timeJob SummaryThe Director of Care Management is a leadership position responsible for overseeing the care management department at Piedmont HealthCare. This role requires a strong background in healthcare administration and a passion for delivering high-quality patient care.Key ResponsibilitiesDevelop and implement departmental policies and procedures to...
-
Director, Care Management
4 weeks ago
Covington, GA, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
3 weeks ago
Covington, GA, United States Piedmont Newton Hospital Full timeDescription: JOB PURPOSE: The Director Care Management is responsible for leading the hospitals Care Management department, defining and maintaining standards of practice for service delivery and organizational performance strategies consistent with PHCs Mission, Vision and Values, as well as those of the individual hospital. KEY RESPONSIBILITIES: 1....
-
Director, Care Management
3 weeks ago
Covington, Georgia, 30209, Newton County, GA, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Program Director
3 days ago
Covington, United States New Season Full timeDescription New Season:For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in class care for individuals living with Opioid Use Disorder ("OUD").Operating in over 70 treatment centers in multiple states, our team members...
-
Athletic Director
1 month ago
Covington, United States Newton County School System Full timeJob Title: Athletic DirectorAthletic Director will provide administrative leadership in planning, implementing, coordinating, and overseeing school-level athletic directors and athletic programs for middle and high schools in Newton County Schools. The successful candidate will have a strong background in education, sports management, or a related field, and...
-
Director, Care Management
2 months ago
Covington, GA, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Service Director
3 weeks ago
Covington, Georgia, United States Gallery Residential Full timeJob DescriptionJob Title: Service DirectorDepartment: Property ManagementReports To: Community DirectorFLSA Status: Non-ExemptPosition Summary: The Service Director oversees and performs technical and mechanical work to ensure the property meets the Company's standards for cleanliness, appearance, safety, and functionality.Key Responsibilities:Assists with...
-
Athletic Director
6 months ago
Covington, United States Newton County School System Full timeJob Title: Athletic Director Salary Code: based on certification and experience Supervisor: Director of Student Services Days/Months: Department: Student Services Classification: Exempt PRIMARY PURPOSE : The Athletic Director will support the district in providing administrative leadership in planning,...
-
Director of Athletic Programs
1 week ago
Covington, United States Newton County School System Full timeJob Title: Director of Athletic ProgramsJob Summary:Newton County School System seeks a Director of Athletic Programs to provide administrative leadership in planning, implementing, coordinating, and overseeing school-level athletic directors and athletic programs for middle and high schools. The ideal candidate will have a strong background in education,...
-
Licensed Practical Nurse
3 weeks ago
Covington, Ohio, United States Iconma LLC Full timeJob Summary: We are seeking a skilled Licensed Practical Nurse to join our team as a Director of Nursing in a Long Term Care setting. The ideal candidate will have a strong background in nursing and leadership, with the ability to provide direct and indirect resident/patient care activities. Key Responsibilities: • Assess, plan, implement, and evaluate...
-
Nurse Care Specialist
4 weeks ago
Covington, United States BrightStar Care of Lawrenceville Full timeUnlock Your Potential as a Registered Nurse with BrightStar Care of LawrencevilleWe are proud to offer a unique opportunity for dedicated and compassionate Registered Nurses to join our team at BrightStar Care of Lawrenceville. As a Registered Nurse, you will have the chance to pursue your passion for delivering exceptional patient care in a flexible and...
