Director, Care Management
3 weeks 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 of Care Management
3 weeks ago
Covington, United States Piedmont HealthCare Full timeJob SummaryPiedmont HealthCare is seeking a highly skilled and experienced Director of Care Management to lead our Care Management department. As a key member of our leadership team, you will be responsible for defining and maintaining standards of practice for service delivery and organizational performance strategies consistent with our Mission, Vision,...
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Director of Care Management
3 weeks ago
Covington, United States Piedmont HealthCare Full timeJob SummaryWe are seeking a highly skilled and experienced Director of Care Management to lead our Care Management department at Piedmont HealthCare. The successful candidate will be responsible for overseeing the department's operations, ensuring that care management services are delivered in accordance with evidence-based guidelines and hospital...
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Director, Care Management
3 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...
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Director, Care Management
3 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...
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Director, Care Management
3 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...
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Director, Care Management
2 days 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 hours 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
16 hours 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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Managing Director
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Managing Director
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MDS Director
4 days ago
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Covington, Kentucky, United States FCS, Inc Full timeDirector Opportunity at FCS, Inc.We are seeking a highly motivated and experienced LISW-S or LPCC-S to join our team as a Clinical Director. This is a school-based opportunity that offers a competitive salary with bonus potential, as well as an amazing benefit package with generous PTO plans.As a Clinical Director, you will have the opportunity to work with...
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Director of Distribution
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Covington, United States Workwear Outfitters Full timeJob Title: Director of DistributionWorkwear Outfitters is a leading supplier of work apparel and footwear for diverse occupations in industries such as automotive, manufacturing, oil and gas, utilities, government, food services, telecommunications, hospitality, and many more.We are seeking a highly experienced Director of Distribution to lead our...
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Director of Distribution
3 weeks ago
Covington, Tennessee, United States Workwear Outfitters Full timeJob Title: Director of DistributionWorkwear Outfitters is seeking a seasoned professional to lead our distribution operations. As a Director of Distribution, you will be responsible for overseeing the financial, operational, and administrative functions of our distribution centers.Key Responsibilities:Provide leadership and management direction to...
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MDS Director
3 weeks ago
Covington, Kentucky, United States Jobs for Humanity Full timeJob Title: MDS DirectorWe are seeking a skilled and compassionate MDS Director to join our team at Kenton Nursing Rehabilitation in Kenton, Ohio. Our team consists of experienced, energetic, dedicated, and compassionate RNs, LPNs, and STNAs.About the Role:The MDS Director will be responsible for coordinating the care of our residents, ensuring that their...
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Athletic Director
3 days 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...
