Director-Quality

5 days ago

Meridian, MS, United States Baptist Memorial Healthcare Corporation Full time
Overview

Job Summary

Case Management Director-RN oversees a staff of case management RNs, LPNs, Social Workers, and/or Case Management Assistants responsible for patient care coordination, discharge planning, utilization review, and social services. The director ensures alignment of objectives and initiative to support organizational goals. A Case Management Director-RN evaluates patient care data to ensure that care is provided in accordance with clinical guideline and organizational standards.

Job Responsibilities

• Oversees transition management and discharge planning to promote length of stay, care coordination, and patient flow.

• Ensures consistency in workflows, documentation, quality, and outcomes of the department.

• Participates and supports readmission reduction strategies

. • Contributes to overall quality, patient satisfaction, and financial goals.

• Works with medical staff, nursing, administration, and other disciplines to improve care, reduce waste, increase efficiency, and achieve optimal outcomes.

• Supports revenue cycle activities supporting utilization review, medical necessity, payor requirements, and denial prevention.

• Ensures compliance with state and federal regulatory requirements, TJC accreditation standards, and CMS requirements.

• Accountable for budgeting and financial performance of the department.

• Interviews, hires, trains, and supervises of all employees of the department.

• Provides opportunity for professional growth through continued education and training.

• Performs other duties as assigned while supporting the mission, vision, and values to enhance quality, utilization, service delivery, and customer satisfaction.

Experience

Minimum Required : 5 years acute care nursing; 2 years of case management

Preferred/Desired : Management experience

Licensure

Current RN Licenses in state which practicing

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