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Head of Case Management Services

2 months ago

Florence, South Carolina, United States Your Health Organization Full time
Job Overview

POSITION SUMMARY
The Director of Case Management is tasked with overseeing and directing the healthcare teams within their designated area. This role is pivotal in ensuring optimal staff performance, delivering high-quality care services, and minimizing unnecessary healthcare expenditures.

This position is committed to fostering a culture of adherence to all relevant federal and state regulations. The Director will collaborate closely with care team members and regional leadership to achieve these goals.


KEY RESPONSIBILITIES
A successful Director of Case Management will be proficient in the following essential duties and responsibilities:

Accommodations may be provided in accordance with applicable laws to enable individuals with disabilities to perform essential functions.

  • Leadership of Care Teams: Direct and manage a multidisciplinary care team, including healthcare professionals such as nurses, social workers, therapists, and health coaches.
  • Patient Engagement: Actively interact with patients to educate them about the organization's care model, their health conditions, and effective disease management strategies.
  • Productivity Oversight: Assess and enhance the productivity of the care team to ensure timely and efficient patient assessments and visits.
  • Billing Efficiency: Work with the team to optimize primary care billing, aiming for it to represent 15% of the total patient group allotment, thereby reducing unnecessary medical expenses.
  • Conflict Resolution: Collaborate on managing and resolving conflicts and complaints effectively.
  • Scheduling Management: Oversee the scheduling process conducted by case managers to ensure an organized and effective schedule for providers and other disciplines.
  • Communication Promotion: Foster effective two-way communication among supervised employees, administration, and regional team members.
  • Training and Development: Provide comprehensive training and support to staff, ensuring clarity on job responsibilities, objectives, protocols, customer service standards, and the use of company software systems.
  • Administrative Support: Carry out general administrative tasks and assist other staff as required.
  • Technology Utilization: Leverage technology platforms to improve patient care and enhance staff productivity.

EXPECTATIONS FOR SUCCESS
  • Take ownership of personal work responsibilities and assist others to ensure resource availability for achieving daily tasks.
  • Communicate and embody the organization's mission, vision, and values.
  • Maintain regular attendance and adhere to behavior standards, dress code, and company policies.
  • Participate in regular in-services and meetings.
  • Promote a culture of exceptional customer service and strive to enhance the patient experience consistently.
  • Be available during standard working hours, with the possibility of additional hours to fulfill business functions and projects.
  • Exhibit the ability to interact tactfully with patients, employees, management, visitors, and government agencies while maintaining an open-door policy.
  • Demonstrate the capacity to make independent decisions when necessary.