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