RN Director of Case Management
4 weeks ago
At Healthcare Recruitment Partners, we are seeking a highly skilled RN Director of Case Management to join our team.
Job Summary:
The RN Director of Case Management will provide oversight of the Case Management team to ensure compliance with standards of practice and other regulatory requirements related to Case Management and Utilization Review.
Responsibilities:
- Develop and foster effective collaboration between Case Management Departments, Medical Staff, corporate, and facility leaders.
- Ensure an integrated approach to providing care while fulfilling the hospital's goals and objectives.
- Work closely with providers as well as internal and external physician advisors.
- Coordinate all UM Committee activities to ensure compliance with meeting frequency and documentation of activity and outcomes.
- Work collaboratively with Revenue Cycle team and participate in task force meetings.
- Participate in appeals processes and work collaboratively with vendors to ensure the effectiveness and timeliness of appeals.
- Analyze Length of Stay (LOS) and readmissions data and incorporate measures to ensure goals are met.
- Introduce evidence-based practices geared to improve Case Management and transitions.
- Conduct regular staff meetings to review Federal and State regulatory requirements and emerging internal and external trends.
- Provide general training for staff.
Qualifications:
- Registered Nurse required.
- Bachelor's Degree in Nursing required.
- Director of Case Management experience in an acute hospital setting.
If you are a motivated and experienced RN Director of Case Management looking for a new challenge, please submit your resume to us for consideration.
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