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)
A rewarding opportunity is now available in the American Southwest for the RN Director Case Management! The outstanding hospital leadership team is seeking an energetic and motivated case management nurse leader with a go-getter attitude.
Reporting directly to the Chief Financial Officer CFO, the Case Management Nurse Director will become responsible for autonomous oversight of the Case Management program for this rapidly growing short term acute care hospital. The Case Management RN Director will provide their clinical background, knowledge, and expertise, guiding fellow healthcare leaders and Case Management staff to facilitate care coordination, discharge planning, medical necessity and clinical reviews, and assessment of proper utilization of resources. This role will also become responsible for facility-wide adherence to Centers for Medicare and Medicaid Services' Conditions of Participation, in addition to other regulatory and accreditation requirements. The RN Director Case Management will have the opportunity to oversee a hardworking team of RNs, Social Workers, and ancillary personnel who are prepared to support the leader in this crucial role.
Requirements for the Case Management Nurse Director role will include:
Located in the beautiful American Southwest, this award-winning 100 bed community hospital offers a variety of medical services, including: 24/7 Emergency Services, Inpatient and Outpatient Surgical Services, Advanced Cardiovascular Services, Medical Surgical Care, Intensive Care Services, as well as a broad range of Outpatient Services. This growing academic hospital has achieved accreditation by The Joint Commission and is well-known for its delivery of high quality care to patients in the local area and beyond.
This hospital is situated in a lush desert, known for its plentiful sunshine, amazing local Tex-Mex cuisine, and variety of fun outdoor activities. The Case Management Nurse Director will also find this area to provide affordable housing options and a great public school district, making this a great place to raise a family.
The RN Director Case Management will be offered a desirable salary, comprehensive benefits package, and potential relocation assistance. This is an excellent opportunity for the experienced Case Management nurse leader who is looking to take the next step with a growing healthcare organization!
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