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)
An excellent opportunity is now available for an Interim Nurse Director of Case Management at a large Southern California Medical Center.
The Interim Nurse Director of Care Coordination will be responsible for collaborating with healthcare providers and physicians for problem solving, prioritizing and facilitating patient care objectives, the coordination and development of staff education, and discharge patient education and follow-up for the area assigned.
The Interim Nurse Director of Case Management will oversee a 400 bed non profit medical Center. Multiple Managers, Supervisors and Charge Nurses will support the Director in this busy case management department. The Director of Case Management will be a key member of the executive team, and will report directly to the Chief Nursing Officer.
The Interim Utilization Review Nurse Executive will be responsible and accountable for unit systems functions, staff performance, and patient care outcomes. This 400 bed Medical Center performs over 7,000 annual inpatient surgeries, 29,000 annual births, and sees over 65,000 patients in the Emergency Department. The Medical Center is renown for their excellent Emergency Unit, Obstetrics Units including NICU and OB clinics, highly regarded medical/surgical services and Home Care.
Devoted to patient care, and with an ever-expanding patient population, the medical center started small and has grown into one of the largest and busiest Emergency Departments in the State.
The experienced patient care teams, discharge planners and clinical social workers work collaboratively with one another to ensure quality and appropriate patient care is delivered to the thousands of patients cared for annually. The Interim Director Hospital Case Management will be a local resource for all inquiries and support needed related to: InterQual criteria methodology, resource management, medical necessity guidelines payer sources, clinical outcome metrics, length of stay initiatives, readmission strategies, reimbursement rules and medical record documentation requirements.
The hospital is seeking an Interim Director Case Management to join ASAP!
Clear All
0 Case Management Director jobs found in Los Angeles, CA area