Case Manager Director

Are you a dynamic leader passionate about optimizing hospital resources and enhancing patient care? Join our team as a Case Manager Director and lead our Case Management Department to ensure efficient utilization of hospital resources and compliance with regulatory standards.

Position: Case Manager Director

Responsibilities:

• Oversee hospital utilization management, transition management, and operational management of the Case Management Department.
• Promote effective utilization of hospital resources and timely revenue cycle processes.
• Implement strategies for denial prevention and safe patient throughput.
• Ensure compliance with state and federal regulations related to case management services.
• Integrate national standards for case management scope of services, including utilization management, transition management, and care coordination.
• Provide education to physicians, patients, families, and caregivers on case management processes and standards.
• Lead the implementation and oversight of the hospital Utilization Management Plan to drive performance improvement.
• Monitor processes to prevent payer disputes and ensure accurate completion of revenue cycle processes.
• Develop and provide physician education and feedback on hospital utilization.
• Manage the post-acute provider network and ensure compliance with accreditation standards.

Requirements

Skills and Certifications:

• Bachelor's degree in Business, Nursing, or Health Care Administration for RN, or Master's in Social Work.
• MSN, MBA, MSW, or MHA.
• Minimum of 3 years of acute hospital case management or healthcare leadership experience.
• Minimum of 5 years of acute hospital case management leadership multi-site experience.
• Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW/LMSW) license. Must be currently licensed, certified, or registered to practice.
• Accredited Case Manager (ACM) certification.

If you possess exceptional leadership skills and a commitment to excellence in case management, we invite you to apply for this challenging and rewarding position. Join us in our mission to provide high-quality patient care while optimizing hospital resources and compliance with regulatory standards. Apply now and be part of our dedicated team!

Benefits

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance