RN Case Management Director

4 weeks ago


Leesburg, Florida, United States healthcarerecruitmentpartners Full time

Job Summary:

The RN Case Management Director is responsible for developing and implementing a system of outcome management. This role ensures coordination of care across the continuum on a financial platform.

Key Responsibilities:

  • Develop and implement case management principles related to eligibility, authorizations, admission assessment, concurrent/retro-eligible review, denials, and appeals.
  • Supervise and manage the work of assigned staff, ensuring adherence to nursing process, standards of care, and disease process of illnesses or injuries in various specialty areas.
  • Develop and maintain effective working relationships with patients, families, and healthcare teams.
  • Stay up-to-date with third-party reimbursement regulations and rules, as well as department and hospital safety practices and procedures.

Requirements:

  • Registered Nurse required.
  • Bachelor's degree in nursing required.
  • Leadership management of case management in an acute hospital setting required.
  • Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred.

Why Join Our Team:

At HealthCare Recruitment Partners, we value our team members' expertise and dedication to delivering exceptional patient care. As an RN Case Management Director, you will have the opportunity to make a meaningful impact on patient outcomes and contribute to the growth and success of our organization.



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