Director of Case Management

20 hours ago


Alexandria, Virginia, United States Inova Health System Full time
Director, Case Management

Inova Mount Vernon is seeking an experienced leader to serve as the Director, Case Management. This leader will oversee the management of our Case Management team, providing care to patients from all specialties, including Behavioral Health.

Key Responsibilities:
  • Lead and coordinate strategic development and functional services to support department objectives and organizational goals.
  • Maintain effective and responsive relationships with patients, attending medical staff, and other departments.
  • Manage department finances, including budgeting and control of salary, non-salary, and capital investment expenses.
  • Manage professional staff, including day-to-day supervision, team member relations, and staff development.
  • Lead all utilization review, social work, and discharge planning activities within assigned operating units.
  • Oversee the day-to-day operation of all Case Management related activities, including the preparation, distribution, and interpretation of monthly reports on productivity and Case Management targets.
  • Lead the management, measurement, and continuous quality improvement of LOS, avoidable days, and denial management.
  • Oversee the maintenance of Case Management database and use of Case Management software.
  • Respond promptly to requests from other departments within the operating unit and maintain cooperative relationships with corresponding departments at other operating units.
  • Ensure adherence to service excellence standards and the provision of outstanding service to internal/external customers.
  • Manage reimbursement and contract issues through collaboration with managed care contracting.
  • Select, hire, and train staff to perform assigned functions at a competent level, including Case Managers and administrative staff.
Requirements:
  • Minimum Experience:
    • Five years of experience in case management or acute care, including at least one year of management experience.
    • Registered Nurse experience preferred.
  • Minimum Education:
    • Bachelor's Degree.
    • BSN preferred, Master's degree preferred.


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