Market Case Management Director

1 week ago


Bozeman, Montana, United States AP Recruiters Full time
Job Summary

AP Recruiters is seeking a seasoned Market Case Management Director to provide strategic leadership and management for hospitals within our market. As a key member of our team, you will be responsible for overseeing day-to-day operations, directing and planning, and formulating operational strategies and initiatives in the case management program.

Key Responsibilities
  • Leadership and Management: Provide case management leadership and management for hospitals within our market, ensuring staff competencies in all areas of care management, including utilization review, transition/discharge planning, and social work services.
  • Operational Strategy: Formulate and implement operational strategies and initiatives in the case management program, ensuring alignment with system-wide initiatives and updating appropriate parties on case management strategies, initiatives, outcomes, and issues.
  • Collaboration and Partnership: Successfully partner with physicians and other stakeholders to ensure delivery of evidence-based care and reduction of avoidable clinical variation in care, collaborating with Hospital Executive Leadership, Nursing, Medical staff, and other department stakeholders to facilitate care in a safe environment.
Requirements
  • Education: Bachelor's degree in Nursing - Required
  • Licensure: State of Tennessee or Multi-State Registered Nurse licensure - Required
  • Experience: Minimum four years management experience directing a Case Management Department in an acute care hospital
  • Knowledge: Working knowledge of Care Management department functions, including Joint Commission and Conditions of Participation (COP) requirements, and good understanding of Medicare, Medicaid, and other third-party payment systems
Preferred Qualifications
  • Certification: BLS certification from the American Heart Association (AHA) or American Red Cross (ARC) - Required within 30 days of hire, if not current upon hire
  • Education: Master's degree in Nursing, Healthcare Administration, or Business Administration
  • Certification: Certification in Case Management, such as CCM


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