Director Of Case Management

Overview

• Lead the Care Management Department, driving strategic initiatives to enhance patient care and operational efficiency.
• Collaborate with executive leadership to align departmental goals with organizational strategies and objectives.
• Develop and implement innovative care management programs to improve service delivery and patient outcomes.
• Ensure compliance with state and federal healthcare regulations, including Medicare and Medicaid standards.
• Provide leadership to a multidisciplinary team, fostering professional growth and team collaboration.
• Manage departmental budgets, ensuring cost-effective solutions and resource optimization.
• Promote adoption of clinical technology to support care delivery across diverse environments.
• Address complex business challenges with strategic thinking and prioritization skills.

Key Responsibilities & Duties

• Oversee daily operations of the Care Management Department, ensuring efficiency and effectiveness in service delivery.
• Develop and implement care management frameworks to standardize practices and improve reporting accuracy.
• Ensure timely and appropriate utilization review and discharge planning processes.
• Collaborate with internal stakeholders to represent care management initiatives and goals effectively.
• Monitor delegated clinical functions, ensuring proper management and compliance with care determinations.
• Report program effectiveness and outcomes to regional leadership and local executives.
• Lead and motivate clinical and administrative teams to achieve departmental objectives and performance targets.
• Analyze complex business problems and implement cost-effective solutions to improve operations.

Job Requirements

• Bachelor's Degree in Nursing, Social Work, or a related field required.
• Minimum of 3-5 years of acute care nursing or social work experience.
• At least 2 years of case management or utilization management experience required.
• Minimum of 3 years of leadership experience in a healthcare setting.
• Valid RN or SW License in the state of employment or compact required.
• Case Management Certification preferred.
• Proficiency in Word Processing and cost-effectiveness analysis.
• Experience in length-of-stay reduction and managing similar-sized hospital operations preferred.