Market Case Management Director

Market Case Management Director - Gallatin, TN 37066

Must-Haves

Bachelor's degree in Nursing - Required

State of Tennessee or Multi-State Registered Nurse licensure - Required

Minimum four years management experience directing a Case Management Department in an acute care hospital.

Working knowledge of Care Management department functions including Joint Commission and Conditions of Participation (COP) requirements.

Good understanding of Medicare, Medicaid, and other third-party payment systems.

Nice-To-Haves

BLS certification from the American Heart Association (AHA) or client (ARC) - Required within 30 days of hire, if not current upon hire.

Master's degree in Nursing, Healthcare Administration or Business Administration

Certification in Case Management such as CCM

The Market Director of Case Management will provide Case Management leadership and management for hospitals within a market of Highpoint Health. The position will be responsible for management or delegation of day-to-day operations including directing and planning. Formulate and implement operational strategies and initiatives in the case management program. Ensure staff competencies in all areas of care management to include utilization review, transition/discharge planning, social work services. Provide specialized expertise, ensure resource alignment with system-wide initiatives, and update appropriate parties on case management strategies, initiatives, outcomes, and issues. Successfully partner with physicians and others to ensure delivery of evidence-based care and reduction of avoidable clinical variation in care.

Collaborate with Hospital Executive Leadership, Nursing, Medical staff, and other department stake holders to facilitate care in a safe environment.