Regional Director of Case Management

3 weeks ago

Lansing, Michigan, United States Henry Ford Health System Full time

Job Summary:

The Regional Director of Case Management is responsible for leading the development, implementation, and monitoring of the case management department within the region. This role serves as a primary source for coordinating and communicating with administration and the treatment team, financial management, interdisciplinary patient care service delivery, and discharge planning processes.

The Regional Director will work closely with senior physician and operational leadership to ensure that the case management program complies with standard treatment protocols and lengths of stay. This position will split time between our Macomb and West Bloomfield hospitals.

Direct reports to this role currently consist of four (4) managers at each site. Early deliverables for the person in this role will include establishing regional accountability, conducting assessments across the region, and significant interaction with system case management.

Key Responsibilities:

  • Develop and implement case management department strategies to improve patient outcomes and reduce healthcare costs.
  • Collaborate with senior leadership to ensure compliance with regulatory requirements and industry standards.
  • Lead a team of case management professionals to provide high-quality patient care and services.
  • Develop and maintain relationships with healthcare providers, payers, and community resources to ensure seamless patient care transitions.
  • Monitor and analyze case management metrics to identify areas for improvement and develop strategies to address them.

Requirements:

  • Master's degree in nursing or a master's degree in Social Work, required.
  • Minimum three (3) years of clinical experience, required.
  • Minimum three (3) years leading teams, required.
  • Excellent verbal communication and written documentation skills.
  • Excellent customer service and interpersonal skills including the ability to interact with internal and external customers and all levels of the organization.
  • Strong problem-solving, analytical, and decision-making skills.
  • Strong computer skills.
  • Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred. Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles.
  • Knowledge of medical ethics and legal implications related to case management. Understanding of social determinants of health and their impact on a patient's well-being.
  • Well versed in facilitating community resources to meet the needs of diverse populations.
  • Strong organizational, planning and implementation skills with the ability to handle multiple complex patients' needs simultaneously. Strong sense of compassion with the ability to successfully advocate for patients and their families.

Certifications/Licenses:

  • Registered Nurse (RN) or Licensed Social Worker (LMSW) with a valid unrestricted State of Michigan license. Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) preferred.

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