Director of Case Management

4 weeks ago

Houston, Texas, United States Scott & Crosby Staffing, Inc. Full time
Job Title: Director of Case Management

Job Summary: We are seeking a highly skilled and experienced Director of Case Management to lead our case management program at the local level. The successful candidate will be responsible for implementing and overseeing the program, ensuring that hospital resources are used effectively and efficiently. The Director will also be responsible for developing systems and processes for care and utilization management, as well as discharge planning.

Key Responsibilities:
  • Plan, direct, and supervise all aspects of the local level program.
  • Facilitate growth and development of the case management program consistent with enterprise-wide philosophy and in response to the dynamic nature of the healthcare environment.
  • Responsible for approving and managing the day-to-day local level operational budget.
  • Assure that revenue, expenses, contribution margin, and FTEs meet or exceed budget.
  • Prepare and submit budget and related reports.
  • Forecast and accurately project expenses.
  • Takes corrective action to address negative variances.
  • Identifies and proposes capital budget items appropriately.
  • Identifies and achieves optimal targeted financial outcomes via the inpatient case management process.
  • Responsible for departmental personnel functions (hiring, firing, etc.) in conjunction with the Executive Director of Medical Management.
  • Writes and conducts annual and interim performance appraisal reviews for the professional and non-professional staff in the department.
  • Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.).
  • Responsible for leading a high-performance team of "system thinkers" who incorporate leadership principles and vision in performing the functions of case management.
  • Uses data to drive decisions, plan, and implement performance improvement strategies for case management.
  • Oversees the education of physicians, managers, staff, patients, and families related to the case management process at the local level.
  • Participates in this evolutionary process by constantly identifying future needs of current customers and/or identifying potential new customers.
  • Ensures safe care to patients, staff, and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
  • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
  • Other duties as assigned.
Requirements:
  • Minimum Qualifications: Bachelors of Nursing (BSN) or Masters Social Work (MSW); Masters degree preferred.
  • Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid Texas license as a Master's Social Worker (LMSW), required; LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM), or Fellowship of the American Academy of Case Management (FAACM), required.
  • Experience/Knowledge/Skills: Minimum five (5) years experience in utilization management, case management, discharge planning, or other cost/quality management program; Three (3) years of experience in hospital-based nursing or social work preferred; 5 years supervisory experience; Self-motivated, proven communication skills, assertive; Background in business planning, and targeted outcomes; Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management; Working knowledge of the concepts associated with Performance Improvement; Demonstrated effective working relationship with physicians; Ability to work collaboratively with healthcare professionals at all levels to achieve established goals and improve quality outcomes; Effective oral and written communication skills.
Benefits: We offer a competitive benefits package tailored to each employee's needs and position. This includes but is not limited to: Paid Time Off (PTO); Dental Insurance; Medical Insurance; Vision Insurance; Life Insurance.

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