Risk Management Director - Healthcare jobs in Columbus, GA

Our client, a 300 bed hospital in GA, located about 2.5 hrs south of Atlanta, has a need for an experienced RN Director of Case Management to join their team.

Manages Case Management Department (includes Bed Board/Clinical Intake, Disease Management, Social Services, Discharge Planning, Precertification, and Denial management; plans, organizes, and directs all related functions and activities (internal and external); establishes goals, objectives, standards of performance; develops operating policies and procedures; interprets hospital policies, standards and regulations to appropriate staff, patients, medical staff and public.

Evaluates the effectiveness of Case Management services related to reimbursement for inpatient and outpatient services. Coordinates negotiates, and procures services and resources for the management of the care of complex patients to facilitate the achievement of quality and cost-efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Develops clinically-based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare through the identification of appropriate utilization of resources across the continuum of care.

QUALIFICATIONS

• Bachelor's degree Required; Graduate of a Bachelor's Program in Nursing Required
• Professional Registered Nursing licensure in state of GA.
• Five (5) years as a Director of Case Management working in short-term acute care hospital / directing discharge team required.
• Experience in a 300 Bed STAC hospital preferred.
• Several LOS accomplishments while exceeding other targets preferred.

This town is located about 2 hours from Atlanta yet has everything you could ever want! Enjoy the Riverwalk that runs through town or the many museums, performing arts center, historical centers, opera house, or the numerous parks in the restored downtown district. They also have a military base nearby as well as a university in town. This is the 3rd largest city in GA. From Broadway shows to the State Theatre of Georgia - this city offers an array of venues with world-class entertainment. From the history of the foot soldier, the Civil War and prisoners of war - the city is home to nationally acclaimed museums. Visitors stroll back to genteel times in the Historic District where brick streets, ancient oaks and century-old homes are the order of the day. And they even has world class whitewater rafting! The natural flow from the river will create the longest urban whitewater course in the world. This incredible release will also restore the natural habitat of many aquatic species, including the shoal bass and fresh water mussel, making it a fisherman's paradise. Come experience all the area has to offer!