Case Management Director

Overview

• Lead case management operations in an acute care setting, ensuring quality healthcare outcomes and efficient resource utilization.
• Collaborate with interdisciplinary teams to optimize patient care and discharge planning processes.
• Serve as a subject matter expert on utilization review and care coordination strategies.
• Develop and implement policies to enhance case management effectiveness and compliance.
• Provide leadership and mentorship to case management staff, fostering professional growth and excellence.
• Ensure alignment with financial and social resources to achieve optimal patient outcomes.
• Monitor and report on case management metrics to drive continuous improvement.
• Stay updated on industry trends and regulations impacting case management practices.

Key Responsibilities & Duties

• Coordinate healthcare services delivery to achieve quality outcomes for patients and families.
• Oversee utilization review processes to ensure appropriate resource allocation.
• Lead discharge planning efforts to facilitate seamless transitions of care.
• Develop and maintain case management policies and procedures.
• Supervise and support case management staff in their professional roles.
• Collaborate with healthcare providers to address patient care needs effectively.
• Analyze case management data to identify areas for improvement.
• Ensure compliance with healthcare regulations and standards.

Job Requirements

• Bachelor of Science (BS) degree required; advanced degree preferred.
• Minimum of 5 years of experience in case management; 7 years preferred.
• Proven expertise in utilization review and discharge planning.
• Strong leadership skills with experience managing interdisciplinary teams.
• Knowledge of healthcare regulations and compliance standards.
• Excellent communication and organizational abilities.
• Ability to analyze data and implement improvement strategies.
• Eligibility for relocation assistance and sign-on bonus.