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)
Monmouth Medical Center-Southern Campus located in Lakewood is looking for an experienced Case Manager to join our great team!!
RESPONSIBILITIES:
The RN Case Manager will be responsible for all aspects of Case Management for Inpatients to determine appropriateness of continued stay, care planning, utilization management and discharge planning,
Requirements:
Current license as a registered Nurse in the State of NJ
3-5 Years of Nursing experience required
Utilization review and discharge planning experience preferred
Case Management certification preferred
On call holiday 1-2 per year and weekend rotations approximately every 6 weeks
EOE
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