Care Management Leadership Role

4 days ago


Covington, United States Piedmont Newton Hospital Full time

Piedmont Newton Hospital seeks an experienced Care Manager to lead our Care Management department.

The ideal candidate will have a strong background in case management, with a minimum of 7 years of experience in an acute care setting and 3 years of management experience. A Bachelor's degree in nursing, social work, healthcare administration or related field is required. Unrestricted registered nurse (RN) license or licensed Master Social Worker (LMSW), or licensed Clinical Social Worker (LCSW) in the state of Georgia is also required.

A competitive salary for this role is estimated to be around $120,000 per year, based on industry standards and location.

About the Role:

  • This role will provide performance improvement, operational, human resources and financial management of the Care Management department.
  • It will ensure that Care Management services are delivered in accordance with evidence-based guidelines and established standards of care practice.
  • The successful candidate will promote quality patient throughput in a resource/cost effective manner via effective care coordination and discharge planning.
  • They will also ensure that department operations and delivery align with PHC and industry quality standards.
  • In addition, they will effectively promote Care Management practices in software and IT systems.
  • Responsibilities include analyzing metrics such as Average Length of Stay and Case Mix Index.
  • The selected candidate will report on Care Management department with Chief Financial Officer.
  • They will establish collaborative working relationships with hospital and PHC leadership.
  • They will also work with Utilization Management and Revenue Cycle.
  • Another responsibility is overseeing monitoring of staff utilization based on workload, skill level, acuity and economic constraints.
  • The role requires participation in Director and Leadership activities for hospital and PHC.
  • The successful candidate will actively participate in strategic planning.
  • They will ensure a safe work environment for CM staff.
  • Additionally, they will provide training and resources to staff within budgetary constraints.
  • They will also ensure that staff are informed of departmental, hospital, PHC and general CM issues.
  • Furthermore, they will delegate responsibilities to appropriate personnel.
  • They will notify and consult with Risk Management as appropriate.
  • The role involves providing leadership in recruitment and retention activities.
  • They will implement Human Resources policies for performance plans and deployment.
  • They will ensure that personnel and competency files are maintained in accordance with hospital, PHC and industry standards.
  • Finally, they will perform outreach activities with community based provider practices and agencies.

Qualifications:

  • Minimum education: Bachelor's degree in nursing, social work, healthcare administration or related field from an accredited school.
  • Minimum experience: Seven years of case management or social work experience in an acute care setting, including three years of management experience.
  • Comprehensive knowledge of the healthcare industry, care coordination, government regulations and healthcare plans.
  • Experience using InterQual or Milliman preferred.
  • Minimum licensure/certification: Unrestricted registered nurse (RN) license or licensed Master Social Worker (LMSW), or licensed Clinical Social Worker (LCSW) in the state of Georgia.
  • Additional qualifications: Certification in Case or Care Management preferred.


  • Covington, Louisiana, United States Regal Construction Full time

    Job OverviewWe are seeking a highly skilled Project Manager to join our team at Regal Construction.


  • Covington, United States Piedmont Newton Hospital Full time

    Job OverviewPiedmont Newton Hospital is seeking a skilled and experienced Director of Care Management to lead our care management department. This individual will be responsible for defining and maintaining standards of practice for service delivery and organizational performance strategies consistent with the hospital's mission, vision, and values.Key...


  • Covington, United States Fresenius Medical Care Full time

    About the RoleWe are seeking an experienced Nurse Manager to oversee patient care and staff in a dynamic dialysis setting.The ideal candidate will have a strong background in nursing, with at least 12 months of experience and 6 months of specialized experience providing clinical nursing care to dialysis patients.Key Responsibilities:Supervise and coordinate...


  • Covington, United States Piedmont Newton Hospital Full time

    Description:Do not pass up this chance, apply quickly if your experience and skills match what is in the following description.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...


  • Covington, United States Total Care ABA - Georgia Full time

    Total Care ABA is a leading provider of Applied Behavior Analysis (ABA) therapy services for children on the Autism spectrum. We are currently seeking an experienced Behavioral Analyst Manager to oversee the implementation of programs and lead our team of highly skilled therapists.The successful candidate will be responsible for overseeing RBTs/Therapists,...


  • Covington, United States Fresenius Medical Care Full time

    About Fresenius Medical CareFresenius Medical Care North America is a leading provider of kidney care products and services. We are dedicated to improving the lives of patients with chronic kidney disease and end-stage renal disease.Job SummaryWe are seeking an experienced Dialysis Nurse Manager to join our team. As a Dialysis Nurse Manager, you will be...


  • Covington, Georgia, United States Atlanta Autism Center Inc Full time

    Job OverviewAt Atlanta Autism Center Inc, we seek a skilled and experienced Board Certified Behavior Analyst (BCBA) to serve as our Clinical Director. This is an exciting opportunity for a leader who can provide clinical guidance, mentorship, and oversight to our team of BCBAs, Registered Behavior Technicians (RBTs), and Behavior Therapists (BTs).About the...


  • Covington, United States Apollo Behavior Full time

    Apollo Behavior is a premier provider of ABA therapy in metro Atlanta and the largest ABA provider based in Georgia. We are focused on excellence, incorporating relational frame theory into our clinical model.We embrace a servant leadership model and empower our team to do their best work and be their best selves. Our culture is fun, collaborative, and...


  • Covington, Georgia, United States Fairway Management Full time

    About Fairway ManagementWe are a leading provider of affordable housing solutions, with a mission to develop, build, and manage quality communities where families can thrive.As a Regional Maintenance Supervision Expert at Fairway Management, you will play a critical role in overseeing the upkeep and maintenance of our properties across multiple regions. This...


  • Covington, Georgia, United States Titan Placement Group Full time

    About the RoleWe are seeking a skilled Clinical Director to join our team in Covington, GA. This is an exceptional opportunity for an experienced professional to lead and grow our autism care services.


  • Covington, United States Piedmont Newton Hospital Full time

    Description: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...


  • Covington, United States Apollo Behavior Full time

    Job OverviewApollo Behavior is seeking a highly skilled and experienced Board Certified Behavior Analyst (BCBA) to fill the role of Clinical Director at our center-focused applied behavior analysis services in Stockbridge, Georgia.This is an excellent opportunity for a leader who is passionate about developing clinical and managerial skills with mentorship...


  • Covington, United States Piedmont Newton Hospital Full time

    Description: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...


  • Covington, United States Piedmont Newton Hospital Full time

    Description: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...


  • Covington, United States Piedmont Newton Hospital Full time

    Description: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...


  • Covington, United States Piedmont Newton Hospital Full time

    Description: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...

  • Clinical Manager

    3 weeks ago


    Covington, United States Piedmont Newton Hospital Full time

    Description:RESPONSIBLE FOR: Administrative and operational responsibility for assigned departments, including management of cost and finance, human resources, operations, quality of care and clinical outcomes, patient/physician and staff satisfaction, change management and any other relevant responsibilities related to this position. Serves as part of the...


  • Covington, Kentucky, United States FCS, Inc Full time

    Job Title: Clinical Leadership Professional - Covington, KYCompany Overview:FCS, Inc is seeking an experienced professional to fill the role of Director of Clinical Intervention. This position will be based near Covington, KY.Salary:$93,000 - $110,000 per year (estimated)Job Description:We are looking for a skilled and motivated individual with leadership...


  • Covington, Kentucky, United States FCS, Inc Full time

    About FCS, Inc.We are seeking a skilled and experienced Senior Clinical Director to join our team at FCS, Inc. in Covington, KY. As a key member of our leadership team, you will be responsible for providing strategic direction and oversight to our clinical programs.Job SummaryThe successful candidate will have a strong background in clinical leadership and...


  • Covington, Kentucky, United States Abode Care Partners Full time

    About the Role">The House Calls Nurse Practitioner position at Abode Care Partners offers a rewarding opportunity to provide in-home medical care to seniors and patients with complex needs. As part of our team, you will conduct examinations, diagnose illnesses, and coordinate with healthcare professionals to deliver personalized treatment...