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Director, Case Management
The Director of Case Management leads and coordinates key strategic development and functional services to support department objectives and organizational goals. Maintains effective and responsive relationships with patients, attending medical staff and other departments. Manages department finances, including budgeting and control of salary, non-salary and capital investment expenses. Manages professional staff including day to day supervision, team member relations and staff development.
Job Responsibilities:
- Leads all utilization review, social work and discharge planning activities within assigned operating unit.
- Oversees the day to day operation of all Case Management related activities to include the preparation, distribution and interpretation of monthly reports on productivity and Case Management targets.
- Leads the management, measurement and continuous quality improvement of LOS, avoidable days and denial management.
- Oversees the maintenance of Case Management database and use of Case Management software.
- Responds promptly to requests from other departments within the operating unit and maintains cooperative relationships with corresponding departments at other operating units.
- Ensures adherence to service excellence standards and the provision of outstanding service to internal/external customers.
- Manages reimbursement and contract issues through collaboration with managed care contracting. Selects, hires and trains staff to perform assigned functions at a competent level to include Case Managers and administrative staff.
Minimum Requirements:
Experience - Five years of experience in case management or acute care to include at least one year of management experience.
Education - Bachelor's Degree
Preferred Requirements:
CCM/ACMA certification
2 years Progressive leadership experience in case management, utilization review, or care coordination within an acute care hospital setting
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