Director of Case Management
2 weeks ago
The Director of Case Management is responsible for leading the implementation of the case management program at the local level. This role oversees the development of systems and processes for care/utilization management and discharge planning at the hospital level.
Key Responsibilities- Plan, direct, and supervise all aspects of the local level program.
- Facilitate growth and development of the case management program consistent with enterprise-wide philosophy and in response to the dynamic nature of the healthcare environment.
- Approve and manage the day-to-day local level operational budget.
- Assure that revenue, expenses, contribution margin, and FTEs meet or exceed budget.
- Prepare and submit budget and related reports.
- Forecast and accurately project expenses.
- Take corrective action to address negative variances.
- Identify and propose capital budget items appropriately.
- Identify and achieve optimal targeted financial outcomes via the inpatient case management process.
- Responsible for departmental personnel functions (hiring, firing, etc.) in conjunction with the Executive Director of Medical Management.
- Write and conduct annual and interim performance appraisal reviews for the professional and non-professional staff in the department.
- Act as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.).
- Responsible for leading a high-performance team of 'system thinkers' who incorporate leadership principles and vision in performing the functions of case management.
- Use data to drive decisions, plan, and implement performance improvement strategies for case management.
- Oversee the education of physicians, managers, staff, patients, and families related to the case management process at the local level.
- Participate in this evolutionary process by constantly identifying future needs of current customers and/or identifying potential new customers.
- Ensure safe care to patients, staff, and visitors; adhere to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
- Promote individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; support department-based goals which contribute to the success of the organization; serve as preceptor, mentor, and resource to less experienced staff.
- Demonstrate commitment to caring for every member of our community by creating compassionate and personalized experiences. Model Memorial Hermann's service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
- Minimum Qualifications
- Bachelor's of Nursing (BSN) or Master's Social Work (MSW); Master's degree preferred
- Current and valid license to practice as a Registered Nurse in the state of Texas or
- Current and valid Texas license as a Master's Social Worker (LMSW), required
- LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM), or
- Fellowship of the American Academy of Case Management (FAACM), required
- Experience/Knowledge/Skills
- Minimum five (5) years experience in utilization management, case management, discharge planning, or other cost/quality management program
- Three (3) years of experience in hospital-based nursing or social work preferred
- 5 years supervisory experience
- Self-motivated, proven communication skills, assertive
- Background in business planning, and targeted outcomes
- Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management
- Working knowledge of the concepts associated with Performance Improvement
- Demonstrated effective working relationship with physicians
- Ability to work collaboratively with healthcare professionals at all levels to achieve established goals and improve quality outcomes
- Effective oral and written communication skills
We offer a competitive benefits package tailored to each employee's needs and position. This includes but is not limited to:
- Paid Time Off (PTO)
- Dental Insurance
- Medical Insurance
- Vision Insurance
- Life Insurance
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