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Case Management Director

2 months ago

Detroit, Michigan, United States DMC Harper UniversityHutzel Women's Hospital Full time
Job Summary

As a seasoned healthcare professional, you will oversee the management and operational oversight for the Case Management and Social Work/Discharge Planning departments at DMC Harper University/Hutzel Women's Hospital. This role requires collaboration with hospital and system leadership to ensure consistent and coordinated delivery of all assigned processes within the hospital.

Key Responsibilities:
  • Manage day-to-day operations of the department to ensure hospital objectives are accomplished.
  • Develop and implement education and orientation programs for personnel.
  • Identify the need for and draft or define procedures/protocols in collaboration with higher management input, goals and objectives; modify procedures/protocols as necessary.
  • Monitor the quality and productivity of staff to ensure work is completed.
  • Approve personnel actions such as hires, fires, disciplines, etc.
  • Complete performance appraisals and ensure competency of staff.
  • Assist in the development of daily, monthly and/or yearly goals and measures for the department, and as requested, assist in assessment of goal attainment.
  • Assist in developing and monitoring budget.
  • Maintain accountability for patient coverage and related activities among assigned staff members.
  • Maintain accountability for third-party payer communications for discharge planning and decision-making.
  • Monitor activities for and ensure compliance with laws, third-party payer requirements, government regulations, Joint Commission requirements pertaining to areas of responsibility.
  • As directed, implement external and internal audit recommendations.
  • Engage physician advisor to facilitate care decisions, as needed.
  • Maintain current knowledge of healthcare techniques/practices, and case management strategies through educational programs/resources.
  • Maintain a working knowledge of the requirements of payers, regulatory and compliance entities.
  • Establish and maintain effective relationships with physicians and all other staff members, internally and externally.
  • Identify problems or any dissatisfaction experienced by any customer or referring source and work to resolve them to a high degree of service excellence.
  • Effectively turn negative situations into supportive relationships by use of concern, poise, understanding, honesty and tact.
  • Promote a positive customer relations environment.
Requirements:
  • Graduate from an accredited school of Nursing. Bachelor's degree in Nursing or other health-related field, or the equivalent combination of education and/or related experience. Master's degree preferred.
  • Three to five years clinical nursing experience.
  • Two years experience in utilization management, case management or discharge planning in an acute care setting. Previous experience with the targeted patient population is preferred.
  • Two years of management experience in an acute care setting.
  • License to practice as a Registered Nurse in the State of Michigan.
  • Case Management certification strongly preferred.