Case Management Director jobs in Birmingham, AL

Case Management Director oversees a staff of case managers responsible for patient care coordination. Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation. Being a Case Management Director evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Seeks treatments that balance clinical and financial concerns with the family's needs and the patient's quality of life. Additionally, Case Management Director contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care. Typically requires a bachelor's degree. Typically reports to top management. May require Registered Nurse (RN). The Case Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Case Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Director Case Management
  • Global Placement Firm
  • Birmingham, AL FULL_TIME

  • Excellent Medical Facility looking to add experienced Director of Case Management to their team!

     

    Summary

    The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.
    This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination by demonstrating efficiency while assuring care is the right sequence and at appropriate level of care  Compliance with state and federal regulatory requirements, TJC accreditation standards and company policy Education provided to physicians, patients, families and caregivers.
     

    Responsibilities

    The individual’s responsibilities include the following activities:

    • Manage department operations to assure effective throughput and reimbursement for services provided
    • Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement
    • Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and company policy
    • Ensure timely and effective patient transition and planning to support efficient patient throughput
    • Implement and monitor processes to prevent payer disputes
    • Develop and provide physician education and feedback on hospital utilization
    • Participate in management of post-acute provider network
    • Ensure compliance with state and federal regulations and TJC accreditation standards, andi) other duties as assigned.

    Education

    • Preferred: BS/BSN preferred (BSN required if Magnet Hospital). MSN, MBA or MHA preferred.

    Experience
    • Required: Two (2) years in Case Management Leadership.
    • Preferred: Five (5) years acute hospital case management experience preferred. Business planning experience preferred. McKesson InterQual® experience preferred.

    Certifications
    • Required: Registered Nurse license. Preferred Accredited Case Manager (ACM).


    Security Clearance Required: No
    Visa Candidate Considered: No


    ***Excellent Pay Structure
    ***Full-time Position w/Excellent Benefits Package
    ***Relocation Assistance Available - Possible for ideal candidate
    ***Must be willing to travel occassionally

     
  • 18 Days Ago

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Director of Support Coordination (Case Management)
  • Northeast Alabama MRDD Authority
  • Gadsden, AL FULL_TIME
  • Northeast Alabama MR/DD Authority is seeking an experienced Director of Support Coordination (Case Management) to lead and develop the success of our team. This position will directly supervise 12 emp...
  • 1 Month Ago

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Asset Manager/Director, Asset Management
  • Southeastern Property Management, LLC
  • Birmingham, AL FULL_TIME
  • SUMMARYSPM manages nearly 200 communities across the country with divisions specializing in Conventional, Student, Affordable, and Senior. The SPM brand has been in business for nearly 50 years and ha...
  • 25 Days Ago

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Case Management Department Assistant
  • Marshall Medical Centers
  • Boaz, AL FULL_TIME
  • The following statements reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the ...
  • 20 Days Ago

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Food Service Director - Miles College (Perkins Management)
  • Perkins Management Services Comp
  • Fairfield, AL FULL_TIME
  • Perkins Management is excited to welcome our newest client, Miles College, to its portfolio of amazing HBCUs. We are one of the fastest growing food service companies, and we are looking for high ener...
  • 15 Days Ago

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Director Case Mgmt
  • Affinity Cardiovascular Specialists, LLC
  • Birmingham, AL FULL_TIME
  • Oversees a staff of case managers responsible for patient care coordination. Develops and implements case management programs, including utilization review, intake or discharge planning, and managed c...
  • 20 Days Ago

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0 Case Management Director jobs found in Birmingham, AL area

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Marketing and Admissions Director
  • Genesis Healthcare
  • Gardendale, AL
  • Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide vari...
  • 3/28/2024 12:00:00 AM

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Unit Manager - RN
  • Genesis Healthcare
  • Gardendale, AL
  • Magnolia Ridge Center is hiring a Full Time Registered Nurse Unit Manager. Join a great team!! Monday - Friday 8am to 5p...
  • 3/28/2024 12:00:00 AM

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Sr. Renewables Project Development Team Leader (Sr. Manager - Director level) - REMOTE
  • ThinkBAC Consulting
  • Birmingham, AL
  • Job Description Sr. Renewables Project Development Team Leader (Sr. Manager to Director level) Locations: FULLY REMOTE -...
  • 3/27/2024 12:00:00 AM

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Travel Nurse RN - Director of Nursing - $1,938 per week
  • TRS Healthcare
  • Gardendale, AL
  • Care Team Solutions is seeking a travel nurse RN Director of Nursing for a travel nursing job in Gardendale, Alabama. Jo...
  • 3/26/2024 12:00:00 AM

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Community Manager
  • gener8tor
  • Birmingham, AL
  • To be considered for this position, please apply on our Careers Page here: https://www.gener8tor.com/careers?gh_jid=5095...
  • 3/25/2024 12:00:00 AM

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Director Case Management
  • Global Placement Firm
  • Birmingham, AL
  • Excellent Medical Facility looking to add experienced Director of Case Management to their team! Summary The individual ...
  • 3/25/2024 12:00:00 AM

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Senior Principal Engineer for Civil and Transportation
  • SARCOR, LLC
  • Birmingham, AL
  • Job Description Job Description Job / Task Description SARCOR is seeking a highly motivated professional civil and trans...
  • 3/25/2024 12:00:00 AM

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Insurance Representative
  • Transamerica Premier Life Insurance Company
  • Birmingham, AL
  • The Insurance Representative is directly responsible for writing new quality business, conserving existing business, pro...
  • 3/24/2024 12:00:00 AM

Birmingham (/ˈbɜːrmɪŋhæm/ BUR-ming-ham) is a city located in the north central region of the U.S. state of Alabama. With an estimated 2017 population of 210,710, it is the most populous city in Alabama. Birmingham is the seat of Jefferson County, Alabama's most populous and fifth largest county. As of 2017, the Birmingham-Hoover Metropolitan Statistical Area had a population of 1,149,807, making it the most populous in Alabama and 49th-most populous in the United States. Birmingham serves as an important regional hub and is associated with the Deep South, Piedmont, and Appalachian regions ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Case Management Director jobs
$141,850 to $199,193
Birmingham, Alabama area prices
were up 1.3% from a year ago

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