Market Case Management Director

2 weeks ago


Gallatin, Tennessee, United States Veracity Full time

Market Case Management Director

**Job Summary**

The Market Director of Case Management will provide strategic leadership and management for hospitals within a market of Highpoint Health. This role will be responsible for directing and planning day-to-day operations, formulating and implementing operational strategies and initiatives in the case management program. The successful candidate will ensure staff competencies in all areas of care management, including utilization review, transition/discharge planning, and social work services.

**Key Responsibilities**

* Provide specialized expertise and ensure resource alignment with system-wide initiatives
* Update appropriate parties on case management strategies, initiatives, outcomes, and issues
* Successfully partner with physicians and others to ensure delivery of evidence-based care and reduction of avoidable clinical variation in care
* Collaborate with Hospital Executive Leadership, Nursing, Medical staff, and other department stakeholders to facilitate care in a safe environment

**Requirements**

* Bachelor's degree in Nursing - Required
* State of Tennessee or Multi-State Registered Nurse licensure - Required
* Minimum four years management experience directing a Case Management Department in an acute care hospital
* Working knowledge of Care Management department functions, including Joint Commission and Conditions of Participation (COP) requirements
* Good understanding of Medicare, Medicaid, and other third-party payment systems

**Nice-to-Haves**

* BLS certification from the American Heart Association (AHA) or client (ARC) - Required within 30 days of hire, if not current upon hire
* Master's degree in Nursing, Healthcare Administration, or Business Administration
* Certification in Case Management such as CCM



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