Director of Case Management
2 months ago
About Our Client: Our client is a leading healthcare provider dedicated to delivering exceptional patient care and innovative health services. With a commitment to excellence, they strive to create a supportive and collaborative environment where healthcare professionals can thrive. Joining their team means becoming part of a mission-driven organization that values integrity, compassion, and the highest standards of medical care.
Job Summary:The Group Director Case Management is in charge of implementing the hospital's organizational case management strategy plan across several hospitals. They are a leader, mentor, consultant, and subject matter expert in case management regulations and standards. The individual is in charge of hospital utilization management, transition management, and operational management of the Case Management Department in order to promote effective use of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and adherence to all state and federal case management regulations.
Responsibilities
- Plan, organize, implement, and direct care coordination activities.
- Provide oversight to case management, including utilization review, social services, and discharge planning.
- Work closely with medical staff and leadership to develop care management programs and clinical pathways.
Qualifications
- Active MSN or LMSW license (required).
- Accredited Case Manager (ACM) preferred.
- 5+ years of experience in utilization review, clinical pathways, case management, and disease management.
- Supervisory experience preferred.
- Responsibilities Include:
- Managing department operations for effective throughput and reimbursement.
- Implementing the hospital Utilization Management Plan.
- Ensuring compliance with CMS regulations and hospital policies.
- Leading patient transition and planning processes.
- Developing physician education on hospital utilization
Relocation Assistance Available:Join our client and take advantage of their comprehensive relocation assistance program. They understand that moving can be a significant change, and are committed to making your transition as smooth as possible. The relocation package includes financial support to cover your moving expenses, ensuring you can focus on settling into your new role and community without the added stress of relocation costs.Explore this exciting opportunity and become part of a healthcare team that values your expertise and dedication. Apply today and benefit from the relocation assistance as you embark on a rewarding career with our client.
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