JobHire
face icon
Register to automatically apply for this and similar jobs
Register
star

Case Manager Director

Remo Consulting LLC

Memphis, tennessee


Job Details

Full-time


Full Job Description

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

Get 10x more interviews and get hired faster.

JobHire.AI is the first-ever AI-powered job search automation platformthat finds and applies to relevant job openings until you're hired.

Registration