Director of Case Management

5 days ago


Doral, Florida, United States https:www.pcrecruiter.netsitemap Full time
Director Case Management Job Description

Miami, FL

Our client is a 500-bed hospital with over 1,000 physicians representing a wide range of medical specialties to serve the residents of Miami-Dade county and surrounding communities.

Services include emergency care, heart and vascular care, maternity and neonatal care (Level II NICU), as well as outpatient and CARF-accredited inpatient rehabilitation.

Job Summary

The Director of Case Management is responsible for managing and coordinating department activities, ensuring staff compliance with organizational policies and external regulatory agencies.

The director takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization.

Key Responsibilities
  • Oversee department/program evaluation
  • Prepare and monitor department budgets
  • Ensure appropriate utilization of resources, facilities, and services by reviewing admissions, duration of stay, professional services rendered for both inpatients and observation patients
  • Develop and implement programs/activities to optimize patient length of stay, assure timely patient throughput, and ensure appropriate discharge planning
  • Provide departmental needs assessment; identify goals, develop, and implement action plans to achieve objectives
  • Maintain current knowledge of governmental regulations, contractual issues, and third-party payor requirements - assures departmental compliance of same
  • Oversee provision of direct clinical social services to areas of the Hospital served
  • Identify patient discharge needs and work in collaboration with nurses and physicians in managing patient care needs through the organization
  • Supervise staff
Qualifications

FL RN Licensure, or Recognized Compact Licensure (subject to Florida State Licensing Requirements, including/not limited to ongoing eligibility and duration provisions)

Bachelor's degree required, Master's preferred

5+ years case management and discharge planning experience in an acute hospital setting

Knowledge of managed care and capitation

2+ years in a Director/Manager role over Case Management/Utilization Review

Our client offers an aggressive salary, great benefits, and unlimited growth potential to the right clinician



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