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Director of Case Management Operations

1 month ago

Nashville, Tennessee, United States Mercury Group Staffing Full time
About the Job

Job Title: Corporate Director of Case Management

Location: Nashville, TN

Job Type: Full-time

Salary Range: $109,400 (min) - $136,700 (max) - Based on years of experience

Additional Benefits: Up to 15% annual bonus based on performance KPIs. Relocation assistance provided (case by case).

Job Description

The Corporate Director of Case Management is a key leadership position responsible for the strategic direction and implementation of case management programs. This role involves collaborating with cross-functional teams to develop and implement comprehensive programs, identify improvement opportunities, and standardize processes to enhance outcomes and organizational efficiency.

The Director will be responsible for ongoing evaluation and assessment of facility practices and industry changes related to case management, patient choice, referral process, avoidable days, ED case management, and social work programs. They will conduct needs analyses, identify gaps, and develop program components to mitigate identified gaps.

The Director will also develop and implement evidence-based toolkits to support case management initiatives, establish and evaluate the strategic plan for clinical aspects of case management, and work with case management analytics to create data priorities and report formats displaying critical outcome, process, and operational factors.

The Director will ensure case management and discharge planning policies comply with governmental and regulatory agencies, provide feedback to case management leadership and other clinical areas using the department-approved process for data reporting, and provide input for resources needed to deliver case management strategies effectively.

The Director will also develop and maintain effective relationships with related departments to promote case management goals, design, develop, implement, evaluate, and revise case management programs for optimum patient outcomes, and collaborate with the corporate case management team to develop policies and procedures supporting systems, standards of practice, regulatory standards, and evidence-based best practices.

The Director will be responsible for integrating clinical documentation and electronic health record technology into the program workflow, ensuring technology supports clinical case management, and develop care coordination education and training in collaboration with the director of case management education.

The Director will also direct and develop discharge planning tools to support case management initiatives and be responsible for integrating clinical documentation and electronic health record technology into the program workflow, ensuring technology supports clinical case management.

Education/Experience Requirements

Bachelor's degree in Nursing required or licensed social worker (LCSW). Master's degree preferred. 5+ years of case management experience required. 3+ years of case management leadership experience required. Performance improvement experience required. Oral, written, and presentation skills required.

Certification/Licensure Requirements

TN RN/LCSW State License. Basic Cardiac Life Support (BLS)