Director of Case Management
4 weeks ago
We are seeking a highly skilled Director of Case Management to join our team at Vibra Healthcare. As a key member of our healthcare team, you will be responsible for monitoring quality patient standards, patient and payor satisfaction levels, and ensuring that patients receive prioritized, cost-appropriate, and quality services.
Responsibilities:
Assess, organize, develop, implement, and evaluate the case management program and activities in accordance with current federal, state, and local standards, guidelines, and regulations, as well as Joint Commission standards.
Demonstrate knowledge and skills necessary to provide case management services to patients experiencing medically complex conditions, general medical-surgical conditions with rehabilitation and wound care needs.
Develop and implement strategies to improve patient outcomes, reduce readmissions, and enhance the overall quality of care.
Requirements:
Current, valid, and active license to practice as a Registered Nurse in the state of employment or Master's Degree of Social Work (MSW) required.
Minimum three (3) years of hospital case management experience required.
Current BLS certification from a Vibra-approved vendor required.
Preferred Qualifications:
Registered Nurse preferred.
Previous LTAC experience preferred.
ACM or CCM and CCDS certification preferred.
Previous management experience preferred.
Strong leader and manager, able to motivate staff to deliver high-quality, results-oriented case management services.
Strong written and oral communication skills.
Assertive and personable with the ability to balance the complex challenge of delivering quality, cost-appropriate, and service-oriented outcomes.
Demonstrates comprehensive knowledge of the principles and concepts of case management and applicable standards of voluntary and regulatory agencies for review activities.
Proficient in collecting and retrieving material from medical records.
Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models.
Interpersonal relationship abilities must be highly refined with negotiation and problem-solving skills at a very high level.
Must possess strong clinical assessment and process skills.
Ability to project a professional image.
Knowledge of regulatory standards and compliance requirements.
Strong organizational, prioritizing, and analytical skills.
Ability to make independent decisions when circumstances warrant.
Working knowledge of computer and software applications used in job functions.
Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.
Benefits:
Vibra Healthcare offers a comprehensive benefits package, including medical, dental, and vision coverage, life insurance, disability benefits, employee assistance plan, flex spending plans, 401K matching, and more. We also offer tuition and continuing education reimbursement, work-life balance, and a supportive work environment that fosters engagement, diversity, and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization.
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