Director, Care Management
3 months ago
Description: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 performance improvement, operational, human resources and financial management ofthe Care Management department.2. Ensures that Care Management services, which include case management and social work, aredelivered in accordance with evidence-based guidelines, established standards of care practiceand performance, hospital policies and procedures.3. Pursue strategies and day-to-day operations that promote quality patient throughput in aresource/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, ancillaryservices and other key stakeholders.9. Works closely with UM leadership and Revenue Cycle to ensure issues are addressed in atimely matter, and that functions & processes align.10. Oversees monitoring of staff utilization based on workload, skill level, acuity and economicconstraints.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 CMissues.16. Delegates responsibilities to appropriate personnel and ensures completion in a timely and effectivemanner.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, TheJoint Commission and industry standards.21. Performs outreach activities with community based provider practices and agencies to promote carecoordination 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, HealthcareAdministration or other related field.MINIMUM EXPERIENCE REQUIRED:Seven (7) years of case management or social work experience in an acute care setting, toinclude three (3) years of management experience in the acute setting.Comprehensive knowledge of the healthcare industry, care coordination, familiarity withgovernment 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 currentunrestricted licensed Master Social Worker (LMSW), or licensed Clinical Social Worker (LCSW) or eligiblefor 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.
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Director, Care Management
4 weeks ago
Covington, United States Piedmont Newton Hospital Full timeDescription:Do not pass up this chance, apply quickly if your experience and skills match what is in the following description.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...
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Director, Care Management
3 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...
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Director, Care Management
3 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...
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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...
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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...
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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...
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Medical Director
3 weeks ago
Covington, Kentucky, United States Marathon Health Full timeUnlock your potential as a Medical Director in our dynamic team at Marathon Health. With a strong focus on primary care, you will be part of a collaborative environment that prioritizes patient-centered healthcare and innovative solutions.
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Program Director
1 month 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...
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Care Management Leadership Role
2 weeks ago
Covington, United States Piedmont Newton Hospital Full timePiedmont Newton Hospital seeks an experienced Care Manager to lead our Care Management department.The ideal candidate will have a strong background in case management, with a minimum of 7 years of experience in an acute care setting and 3 years of management experience. A Bachelor's degree in nursing, social work, healthcare administration or related field...
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Director, Care Management
3 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...
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Athletic Director
7 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,...
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Nurse Manager for Dialysis Patient Care
2 weeks ago
Covington, United States Fresenius Medical Care Full timeAbout the RoleWe are seeking an experienced Nurse Manager to oversee patient care and staff in a dynamic dialysis setting.The ideal candidate will have a strong background in nursing, with at least 12 months of experience and 6 months of specialized experience providing clinical nursing care to dialysis patients.Key Responsibilities:Supervise and coordinate...
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Covington, United States Piedmont Newton Hospital Full timeJob OverviewPiedmont Newton Hospital is seeking a skilled and experienced Director of Care Management to lead our care management department. This individual will be responsible for defining and maintaining standards of practice for service delivery and organizational performance strategies consistent with the hospital's mission, vision, and values.Key...
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Clinical Director, BCBA
1 week ago
Covington, United States Apollo Behavior Full timeJob DescriptionJob DescriptionJob descriptionRole: Clinical Director and Board Certified Behavior Analyst/BCBALocation: Covington, GACompensation: $90,000-$100,000 annually, based on experienceSchedule: Monday-Friday, 8:00 am - 5:00 pmAbout Apollo Behavior:Apollo Behavior is the premier provider of ABA therapy in metro Atlanta, and the largest ABA provider...
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RN Clinical Services Manager
1 month ago
Covington, United States Tennessee Quality Care – an Addus family company Full timeTennessee Quality Care is looking for a Full-Time RN Clinical Services Manager to join our fast-growing Home Health Division in Covington, TN area!Immediate openings, generous time off package, mileage reimbursement, 401k match, plus more!Tennessee Quality Care provides personalized medical care to help people live their best lives. We take care of patients...
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RN Clinical Services Manager
4 days ago
Covington, United States Tennessee Quality Care – an Addus family company Full timeTennessee Quality Care is looking for a Full-Time RN Clinical Services Manager to join our fast-growing Home Health Division in Covington, TN area!Generous time off package, mileage reimbursement, 401k match, plus more!Tennessee Quality Care provides personalized medical care to help people live their best lives. We take care of patients recovering from...
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VP/Director of Finance
1 week ago
Covington, United States Robert Half Full timeJob DescriptionJob DescriptionWe are offering a long-term contract employment opportunity for a Director of Finance in Covington, Louisiana. This role is crucial in the industry, as it involves overseeing financial operations, maintaining budgetary guidelines, and communicating budget details at all levels. The Director of Finance will also be responsible...
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Medical Director
4 days ago
Covington, Louisiana, United States St. Tammany Health System Full timeAt St. Tammany Health System, our mission is to deliver world-class healthcare with compassion and expertise. We are seeking a skilled Medical Director to lead our Palliative Care Department and staff. The ideal candidate will possess strong leadership and medical direction skills, with experience in developing standards of care.Job SummaryThe successful...
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Director of Christian Education
3 weeks ago
Covington, Kentucky, United States Latonia Baptist Church Full timeJob Description:\Latitude Baptist Church is seeking an experienced Director of Christian Education to lead our youth ministry program. As a Director of Christian Education, you will be responsible for designing and implementing educational programs that promote spiritual growth and development among teenagers.\About the Position:This is a full-time position...
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Project Director
4 days ago
Covington, Louisiana, United States Pelican Energy Consultants Full timePelican Energy Consultants is seeking an experienced Senior Project Director to lead high-profile engineering projects in the Oil and Gas, CO2 Capture and Transportation, or Chemical Industries. The successful candidate will have a strong background in project management, with a proven track record of delivering complex projects on time and within budget.The...
