Director of Care Management
3 weeks ago
We are seeking a highly skilled and experienced Director of Care Management to lead our Care Management department at Piedmont HealthCare. The successful candidate will be responsible for overseeing the department's operations, ensuring that care management services are delivered in accordance with evidence-based guidelines and hospital policies.
Key Responsibilities- Provide strategic leadership and direction to the Care Management department, ensuring that operations are aligned with hospital and industry quality standards.
- Develop and implement performance improvement initiatives to enhance patient throughput and reduce avoidable days.
- Collaborate with hospital and PHC leadership, Utilization Management, and Revenue Cycle teams to ensure seamless operations and effective issue resolution.
- Oversee staff utilization, ensuring that workload, skill level, acuity, and economic constraints are balanced.
- Participate in strategic planning and contribute to the development of departmental goals and objectives.
- Ensure a safe work environment for Care Management staff and promote professional growth through training and resource allocation.
- Delegate responsibilities to appropriate personnel and ensure timely completion of tasks.
- Notify and consult with Risk Management as appropriate and per policy.
- Implement Human Resources policies for performance plans, deployment, severance, outplacement, and other workforce-related activities.
- Ensure that personnel and competency files are maintained in accordance with hospital, PHC, The Joint Commission, and industry standards.
- Graduate from an accredited school of nursing or Bachelor's degree in Social Work, Healthcare Administration, or other related field.
- Seven (7) years of case management or social work experience in an acute care setting, including three (3) years of management experience in the acute setting.
- Comprehensive knowledge of the healthcare industry, care coordination, familiarity with government regulations, healthcare plans, and utilization management.
- Experience using InterQual or Milliman.
- Unrestricted registered nurse (RN) license, or eligible for RN licensure, in the state of Georgia or current unrestricted licensed Master Social Worker (LMSW), or licensed Clinical Social Worker (LCSW) or eligible for licensure, in the state of Georgia required.
- Certification in Case or Care Management preferred.
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Director of Care Management
3 weeks ago
Covington, United States Piedmont HealthCare Full timeJob SummaryPiedmont HealthCare is seeking a highly skilled and experienced Director of Care Management to lead our Care Management department. As a key member of our leadership team, you will be responsible for defining and maintaining standards of practice for service delivery and organizational performance strategies consistent with our Mission, Vision,...
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Director, Care Management
3 weeks ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
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Director, Care Management
3 weeks ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
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Director, Care Management
2 days ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
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Director, Care Management
3 weeks ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
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Director, Care Management
3 weeks ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
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Director, Care Management
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