Director, Case Management

Director Case Management

San Ramon, CA

185K-240K + Signing Bonus + Performance Bonus + Paid Relocation

Job Description

We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

Wellbeing support, including employee assistance program (EAP)

Time away from work programs for paid time off, long- and short-term plan coverage

Savings and retirement including a 401(k) Plan with a 50% match up to 6% of pay, employee stock purchase plan, flexible spending accounts, retirement readiness tools, rollover support, and financial well-being counseling

Education support through tuition assistance, student loan assistance, certification support, and online educational...

Manage department operations to assure effective throughput and reimbursement for services provided, 

lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and hospital policy, ensure timely and effective patient transition and planning to support efficient patient throughput, implement and monitor processes to prevent payer disputes, develop and provide physician education and feedback on hospital utilization, participate in management of post-acute provider network, ensure compliance with state and federal regulations and TJC accreditation standards.

Requirements

Bachelor’s degree in business, Nursing or Health Care for RN or master’s in social work for MSW.   

Preferred: MSN, MBA, MSW or...

Group Director Case Management

Location: Modesto, CA

Salary: $150-200K + Signing Bonus + Performance Bonus + Paid Relocation

Overview:

Lead and execute the strategic case management plan across multiple hospitals. Serve as a leader, mentor, and subject matter expert on case management regulations and standards, overseeing hospital utilization, transition management, and operational management.

Key Responsibilities:

• Lead hospital case management and utilization review
• Set goals aligning with strategic plans
• Manage internal and external audits
• Drive process improvements and compliance with CMS, ISO 9001, IATF 16949, ISO 14001, EPA, and OSHA standards
• Ensure accurate revenue cycle processes and patient throughput
• Train and mentor case management staff
...

The Director of Case Management plans, organizes, implements, and directs care coordination activities at Piedmont Medical Center. He/she is responsible for providing oversight and broad direction to case management, which includes care coordination, utilization review, social services, and discharge planning. The Director of Case Management works closely with the medical staff and Medical Center leadership to identify patient care trends and issues. The Director develops care management programs, procedures, and clinical pathways that ensure efficient use of medical resources and provide optimum cost effective, quality care.

Requirements

Registered Nurse or LCSW/LMSW license.

Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.

Active RN or LCSW/LMSW license for state(s) covered.

Preferred: Accredited Case Manager...

Location: Los Angeles, California

Compensation: $105,000 to $115,000

ORGANIZATION OVERVIEW

Founded in 2004, Brilliant Corners provides innovative housing and housing-related services to those transitioning from or at risk of homelessness or institutionalization. We develop, own and manage multi-family supportive housing and licensed residential care homes. Additionally, we implement a broad array of scattered-site, one-on-one supportive housing, and clinical case management programs through partnerships with developmental services, homeless services, veterans’ services and health care sectors.

In short, we do good work.

We have offices statewide with a staff of passionate people. While we are...

The Group Director, Case Management will perform the functions necessary to support and advance Tenet’s Case Management strategy. Will support the advancement of Case Management as a leader, mentor, and consultant. 

• Will execute on the strategic plan and will provide subject matter expertise for Case Management regulations and standards, including ensuring compliance with all state and federal regulations. 
• Will ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient throughput.
• Includes integration of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction. 
• Further, includes care coordination by demonstrating throughput efficiency while assuring care is the...

TITLE: Director Case Management

LOCATION: Centerburg, Ohio

Now is your chance to join a top hospital where career growth and opportunity await you.

They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for individuals who share the same values.

You could live or work in a small town close to Columbus, Ohio so you can be offered all the amenities of a small town and big city at the same time?

If that sounds like the change you are looking for, please read on..

What you will be doing:

•Provides 24 hour leadership and accountability for the clinical practice and operational functions for case management. Ensures quality services for neonatal, pediatric, adolescent, adult and geriatric patients by collaborating intra/interdepartmentally with staff, colleagues, administration, physicians and...

We are looking to hire an experienced Case Management Director to lead a dynamic team. Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of daily hospital case management operations and is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the department.

Requirements

• Bachelor's degree, required
• Master's degree in...

The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of daily hospital case management operations and is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the department.

This position requires an executive presence and candidates must possess excellent communication and presentation skills, proven motivational capabilities, and a demonstrated...

The Group Director, Case Management will execute on the strategic plan and will provide subject matter expertise for Case Management regulations and standards, including ensuring compliance with all state and federal regulations. 

·      Will ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient throughput.

·      Includes integration of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction. 

·      Further, includes care coordination by demonstrating throughput efficiency while assuring care is the right sequence and of the appropriate level.

·      Will...