Job Description

Job Description

Job Summary
The Director of Case Management is responsible for the oversight of Case Management unit, including but not limited to clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review. Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and adherence to a designated Geometric Length of Stay (GLOS) for each patient.

Essential Functions

• Develops and implements departmental goals, plans, and standards consistent with the clinical,administrative, legal, and ethical requirements/objectives of the organization.
• Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
• Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
• Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits.
• Creates and fosters an environment that encourages professional growth.
• Integrates evidence-based practices into operations and clinical protocols.
• The Director is responsible for the overall direction and management of these areas, including planning, organizing and directing all activities, staffing, performance improvement in the delivery of clinical services as well as government and regulatory reporting.

Benefits -

• you choose your own Medical, Dental, and Vision plans from a variety of competitive options that give you the coverage that best fits your needs.
• HSA
• 401(K) retirement plan contributions
• Generous Paid Time Off
• Accident & Critical Illness Insurance
• Prescription Assistance with OptumRx
• Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft.
• Employee Assistance program at no cost to you to provide emotional, legal, financial, and daily life support for your entire household. Services are available 24 hrs. a day, 7 days a week.
• Free travel and entertainment discount program to ensure you enjoy your time away from work.

Qualifications

Minimum Education

Associate's Degree in Nursing required
Bachelor's Degree in Nursing or Master's Degree in related field preferred.

Licenses/Certifications

Current RN license to practice in NC
Minimum Work Experience

Minimum 3 years management experience preferred.

Must-Haves

• Associate's Degree in Nursing required
• Current RN license to practice in NC
• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Nice-To-Haves

• Bachelor's Degree in Nursing or Master's Degree in related field preferred.
• Minimum 3 years management experience preferred.

Job Tags

Similar Jobs