RN Case Management Director

4 weeks ago


Leesburg, Florida, United States healthcarerecruitmentpartners Full time

Job Summary: We are seeking a highly skilled RN Case Management Director to lead our Case Management team. The ideal candidate will have experience in developing and implementing outcome management systems, ensuring coordination of care across the continuum, and supervising staff.

Key Responsibilities:

  • Develop and implement a system of outcome management to ensure high-quality patient care.
  • Coordinate care across the continuum, ensuring seamless transitions and effective communication.
  • Supervise and lead a team of case managers, providing guidance and support to ensure successful outcomes.
  • Stay up-to-date on third-party reimbursement regulations and rules, ensuring compliance and optimal reimbursement.
  • Interpret and analyze patient medical charts to identify areas for improvement and develop strategies for enhanced care.

Requirements:

  • Bachelor's degree in nursing required.
  • Leadership experience in case management, preferably in an acute hospital setting.
  • Strong knowledge of care management principles, including eligibility, authorizations, admission assessment, concurrent/retro-eligible review, denials, and appeals.
  • Excellent communication and interpersonal skills, with the ability to work effectively with patients, families, and healthcare teams.

About Us: Healthcarerecruitmentpartners is a leading recruitment agency specializing in healthcare staffing solutions. We are committed to providing exceptional service and support to our clients and candidates.



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