Director-Case Management

Description

Job Summary

Case Management Director-RN oversees a staff of case management RNs LPNs Social Workers and/or Case Management Assistants responsible for patient care coordination discharge planning utilization review and social services. The director ensures alignment of objectives and initiative to support organizational goals. A Case Management Director-RN evaluates patient care data to ensure that care is provided in accordance with clinical guideline and organizational standards.

Responsibilities

• Oversees transition management and discharge planning to promote length of stay care coordination and patient flow.
• Ensures consistency in workflows documentation quality and outcomes of the department.
• Participates and supports readmission reduction strategies.
• Contributes to overall quality patient satisfaction and financial goals.
• Works with medical staff nursing administration and other disciplines to improve care reduce waste increase efficiency and achieve optimal outcomes.
• Supports revenue cycle activities supporting utilization review medical necessity payor requirements and denial prevention.
• Ensures compliance with state and federal regulatory requirements TJC accreditation standards and CMS requirements.
• Accountable for budgeting and financial performance of the department.
• Interviews hires trains and supervises of all employees of the department.
• Provides opportunity for professional growth through continued education and training.
• Performs other duties as assigned while supporting the mission vision and values to enhance quality utilization service delivery and customer satisfaction.

Specifications

Experience

Minimum Required

• 5 years acute care nursing; 2 years of case management

Preferred/Desired

• Management experience

Education

Minimum Required

• Bachelors Degree as Registered Nurse

Preferred/Desired

• Masters degree as Registered Nurse

Training

Minimum Required

Preferred/Desired

Special Skills

Minimum Required

Preferred/Desired

Licensure

Minimum Required

• Current RN licenses in state which practicing

Preferred/Desired

Required Experience:

Director