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)
Do you have previous Admissions experience with Managed Care?
Due to continued growth, CommuniCare Health Services is currently seeking the right professional to fill the full time position of Pre-certification Specialist for its Central Intake Department.
This is a salaried position with estimated pay $70k/annually
PURPOSE/BELIEF STATEMENT
The Pre-certification Specialist assists in developing census and providing external and internal support throughout the admissions process. Previous experience required; Managed Care experience preferred. This position must work flexible hours. This is not a sales position and the workplace is in an office setting - not in a nursing home.
BENEFITS
The Pre-certification Specialist is a full time, salaried position in a fun, team environment! At CommuniCare, you will enjoy competitive wages, commensurate with experience, and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.
If you meet the requirements for Pre-certification Specialist, and you would like to be part of a World Class team of professionals,respond to this ad with your resume and salary history for confidential consideration.
POSITION REQUIREMENTS
JOB DUTIES AND RESPONSIBILITIES
About Us
A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, to reach out with our hearts and touch the hearts of others. Through this effort we create Caring Communities where staff, residents, clients, and family members care for and about one another.
Clear All
0 Case Management Director jobs found in Charleston, WV area