case management leader

Encompass Health

<div>Case Management Director Career Opportunity
Highly regarded for your Case Management Director expertise
Are you an experienced and compassionate healthcare professional with a background in case management, seeking a career that aligns with your professional expertise and resonates with your personal values? As the Director of Case Management at Encompass Health, you have the unique opportunity to lead a team and make a profound impact on the lives of individuals within your local community. This role combines fulfilling career opportunities close to home with the chance to make a meaningful difference in the well-being of those around you. Join us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department.
A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the &quot;World's Most Admired Companies&quot; and receiving the Fortune 100 Best Companies to Work For&reg; Award, among other accolades, which is nothing short of amazing.
Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:<ul><li>Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.</li><li>Generous paid time off that accrues over time.</li><li>Opportunities for tuition reimbursement and continuing education.</li><li>Company-matching 401(k) and employee stock purchase plans.</li><li>Flexible spending and health savings accounts.</li><li>A vibrant community of individuals passionate about the work they do!</li></ul> 
Become the Case Management Director you've always aspired to be<ul><li>Assume responsibility for the day-to-day operations and human resource management of the Case Management department.</li><li>Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.</li><li>Act as a patient and family advocate, ensuring that services are delivered to meet the needs of patients and their families.</li><li>Provide guidance and support to Case Managers and other staff, including training on managing caseloads and interpreting regulations, policies, operational procedures, and objectives. Review operations to ensure a high level of quality consistent with organizational standards.</li><li>Build relationships with insurance companies, self-insured employers, case management firms, and other healthcare networks.</li><li>Celebrate the accomplishments and successes of our dedicated employees along the way.</li></ul> 
Qualifications<ul><li>Current CCM&reg; or ACMTM certification is preferred.</li><li>Must be qualified to independently complete an assessment within the scope of practice of his/her discipline.</li><li>If licensure is required for the discipline within the hospital's state, individual must hold an active license.</li><li>For Nursing, must possess bachelor's degree in nursing (BSN) with RN licensure.</li><li>For other eligible health care professionals, must possess a minimum of a bachelor's degree; a graduate degree is preferred.</li><li>Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience.</li><li>May be required to work weekdays and/or weekends, evenings and/or night shifts.</li><li>May be required to work on religious and/or legal holidays on scheduled days/shifts.</li></ul>
#LI-BG1
<div>The Encompass Health Way
</div><div>We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
</div><div>At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.</div></div>

Case Management Director

HCA Florida West Marion Hospital

<div>This position is incentive eligible. 
 
 
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Director Case Management today with HCA Florida West Marion Hospital.
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
<h5 class="jobSectionHeader">The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of daily hospital case management operations and is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the department. This position requires an executive presence and candidates must possess excellent communication and presentation skills, proven motivational capabilities, and a demonstrated accomplishment record of delivering results and attaining goals. This position is a subject matter expert in case management that requires solid leadership, trust building, team building, as well as change management skills to ensure success of the department and case management initiatives. This position requires an individual who is a self-starter and has the ability to manage multiple priorities, work with minimal supervision on projects and activities, and demonstrate tact and diplomacy in situations of conflict and controversy. This individual must be able to adapt quickly to change and coordinate efforts across multiple stakeholders.
Responsibilities:<ul><li>
Directs and evaluates departmental operations, including the case management model, staffing (skill mix and FTEs), use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives.</li><li>
Allocates resources to effectively staff department and meet productivity and quality goals.</li><li>
Responsible for oversight of CM core functions and practice.</li><li>
Ensures the adherence to care coordination and discharge planning processes, ensuring timeliness, quality, and proper documentation.</li><li>
Works with the Facility CFO and Division CM Leader to achieve established goals and expectations.</li><li>
Assesses and improves the department&rsquo;s performance by evaluating operational processes, monitoring performance through analyzing data, and implementing sustainable performance improvement activities.</li><li>
Ensuring compliance with policies and SOP.</li><li>
Establish working relationships with key stakeholders to include CMO, CNO, ancillary service leaders, Ethics &amp; Compliance, and Legal.</li><li>
Performs other duties as assigned.</li><li>
Practices and adheres to the &ldquo;Code of Conduct&rdquo; and &ldquo;Mission and Value Statement.&rdquo;</li></ul></h5>
<h6 class="jobSectionHeader">What qualifications you will need:</h6><ul><li>
Bachelors Degree</li><li>
Master's degree in Nursing, Health Administration, or Business Administration, preferred</li><li>
(RN) Registered Nurse, or (LCSW) Clinical Social Worker</li><li>
No Travel Required</li><li>
3 years experience in overall acute care Hospital Case Management, preferred</li><li>
2+ years experience in case management leadership, preferred</li></ul>
<h5 class="jobSectionHeader">Benefits</h5>
HCA Florida West Marion Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
 
&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Director Case Management opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Director Case Management

HCA Florida Lake Monroe Hospital​

<div>This position is incentive eligible. 
 
 
<h5 class="jobSectionHeader">Introduction</h5>
Do you want to join an organization that invests in you as a Director Case Management? At HCA Florida Lake Monroe Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.<h5 class="jobSectionHeader">
Benefits</h5>
HCA Florida Lake Monroe Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
You contribute to our success. Every role has an impact on our patients&rsquo; lives and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of daily hospital case management operations and is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the department. This position requires an executive presence and candidates must possess excellent communication and presentation skills, proven motivational capabilities, and a demonstrated accomplishment record of delivering results and attaining goals. This position is a subject matter expert in case management that requires solid leadership, trust building, team building, as well as change management skills to ensure success of the department and case management initiatives. This position requires an individual who is a self-starter and has the ability to manage multiple priorities, work with minimal supervision on projects and activities, and demonstrate tact and diplomacy in situations of conflict and controversy. This individual must be able to adapt quickly to change and coordinate efforts across multiple stakeholders.
Responsibilities:<ul><li>
Directs and evaluates departmental operations, including the case management model, staffing (skill mix and FTEs), use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives.</li><li>
Allocates resources to effectively staff department and meet productivity and quality goals.</li><li>
Responsible for oversight of CM core functions and practice.</li><li>
Ensures the adherence to care coordination and discharge planning processes, ensuring timeliness, quality, and proper documentation.</li><li>
Works with the Facility CFO and Division CM Leader to achieve established goals and expectations.</li><li>
Assesses and improves the department&rsquo;s performance by evaluating operational processes, monitoring performance through analyzing data, and implementing sustainable performance improvement activities.</li><li>
Ensuring compliance with policies and SOP.</li><li>
Establish working relationships with key stakeholders to include CMO, CNO, ancillary service leaders, Ethics &amp; Compliance, and Legal.</li><li>
Performs other duties as assigned.</li><li>
Practices and adheres to the &ldquo;Code of Conduct&rdquo; and &ldquo;Mission and Value Statement.&rdquo;</li></ul>
What qualifications you will need:<ul><li>
Bachelor's degree, required</li><li>
Master's degree in Nursing, Health Administration, or Business Administration, preferred</li><li>
Either Registered Nurse (RN) licensure, Licensed Clinical Social Worker (LCSW) or Licensed Master Social Worker (LMSW), required</li><li>
3+ years&rsquo; experience in overall acute care Hospital Case Management, preferred</li><li>
2+ years&rsquo; experience in case management leadership, preferred</li></ul>
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Case Management opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Parkridge Health System

<div>This position is incentive eligible. 
 
 
<h5 class="jobSectionHeader">Introduction</h5>
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Director Case Management today with Parkridge Medical Center.<h5 class="jobSectionHeader">
Benefits</h5>
Parkridge Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul> 
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
Come join our team as a Director Case Management. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of daily hospital case management operations and is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the department. This position requires an executive presence and candidates must possess excellent communication and presentation skills, proven motivational capabilities, and a demonstrated accomplishment record of delivering results and attaining goals. This position is a subject matter expert in case management that requires solid leadership, trust building, team building, as well as change management skills to ensure success of the department and case management initiatives. This position requires an individual who is a self-starter and has the ability to manage multiple priorities, work with minimal supervision on projects and activities, and demonstrate tact and diplomacy in situations of conflict and controversy. This individual must be able to adapt quickly to change and coordinate efforts across multiple stakeholders.
Responsibilities:<ul><li>
Directs and evaluates departmental operations, including the case management model, staffing (skill mix and FTEs), use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives.</li><li>
Allocates resources to effectively staff department and meet productivity and quality goals.</li><li>
Responsible for oversight of CM core functions and practice.</li><li>
Ensures the adherence to care coordination and discharge planning processes, ensuring timeliness, quality, and proper documentation.</li><li>
Works with the Facility CFO and Division CM Leader to achieve established goals and expectations.</li><li>
Assesses and improves the department&rsquo;s performance by evaluating operational processes, monitoring performance through analyzing data, and implementing sustainable performance improvement activities.</li><li>
Ensuring compliance with policies and SOP.</li><li>
Establish working relationships with key stakeholders to include CMO, CNO, ancillary service leaders, Ethics &amp; Compliance, and Legal.</li><li>
Performs other duties as assigned.</li><li>
Practices and adheres to the &ldquo;Code of Conduct&rdquo; and &ldquo;Mission and Value Statement.&rdquo;</li></ul>
What qualifications you will need:<ul><li>
Bachelor's degree, required</li><li>
Master's degree in Nursing, Health Administration, or Business Administration, preferred</li><li>
Either Registered Nurse (RN) licensure, Licensed Clinical Social Worker (LCSW) or Licensed Master Social Worker (LMSW), required</li><li>
3+ years&rsquo; experience in overall acute care Hospital Case Management, preferred</li><li>
2+ years&rsquo; experience in case management leadership, preferred</li></ul>
&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Director Case Management opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

HCA Healthcare

<div>This position is incentive eligible. 
 
 
<h5 class="jobSectionHeader">Introduction</h5>
Do you want to join an organization that invests in you as a Division Director Case Management? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.<h5 class="jobSectionHeader">
Benefits</h5>
HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
You contribute to our success. Every role has an impact on our patients&rsquo; lives and you have the opportunity to make a difference. We are looking for a dedicated Division Director Case Management like you to be a part of our team.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
The Case Management Division Director supports the execution of the HCA case management program across the division. The Division Director is a subject matter expert in all aspects of case management, providing direct onsite support and change management. Facility onsite support includes data analysis, facility gap assessments, and action plan development to achieve established goals. Directs facility case management regarding care coordination/case management and care transition processes across the division. The Division Director ensures that the facilities are in compliance with HCA standards, policies, and regulatory requirements. The Case Management Division Director must possess excellent communication skills, proven motivational capabilities. Must have an executive presence and a demonstrated record of accomplishment for delivering results and attaining goals.
Responsibilities<ul><li>
Provides leadership to and actively participates with facility staff to identify, implement, or enhance Case Management programs consistent with HCA and facility strategy</li><li>
Disseminates information accurately and timely with multiple audiences; leads regularly scheduled communication sessions with facility CM Directors</li><li>
Identifies process improvement opportunities; develops, implements, monitors, and revises action plans</li><li>
Identifies potential best-demonstrated practices to explore implementation.</li><li>
Identifies opportunities to establish standards and policies.</li><li>
Collaborates with key stakeholders at corporate and division to explore development.</li><li>
Facilitates Case Management education within the division; assists with orientation and ongoing education of Case Management staff, provides education</li><li>
Identifies and proposes opportunities to improve current technology or identify new technology to enhance performance and productivity.</li><li>
Escalates issues to division and corporate leadership.</li></ul>
Education &amp; Experience<ul><li>
Bachelor's degree required</li><li>
Master's degree in Nursing, Health Administration, or Business Administration preferred</li><li>
5+ years&rsquo; experience in Case Management Leadership, preferably within a large multi-hospital system required</li><li>
7+ years overall Clinical Case Management experience</li><li>
Registered Nurse - Currently licensed as a registered professional nurse in the state in which he or she practices, in accordance with law and regulation.</li><li>
Certification in Case Management</li><li>
Licensed Clinical Social Worker</li></ul>
HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Division Director Case Management opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Division Director Case Management

Med-Metrix

Job Purpose
 The Vice President, Case Management provides leadership and direction to related to Case Management initiatives and clinical priorities. This person works collaboratively with leadership to lead strategy related to Case Management ensuring stakeholder inclusion and alignment. The Vice President, Case Management is responsible for strategic planning and the advancement of case management, to include utilization management, coordination of care and transition management. The Vice President, Case Management develops and executes operational strategies built to ensure the Case Management strategy is aligned with regulatory requirements, organizational goals and forward thinking aimed at efficiency and viability.
 
Duties & Responsibilities
 
<ul>
<li>Executive management of Case Management</li>
<li>Oversees Case Management and social work activities to monitor quality of care</li>
<li>Develops and implements strategy and actions plans in alignment with the organization’s strategic planning process</li>
<li>Ensures strategies developed and deployed related to performance metrics</li>
<li>Ensures alignment with regulatory guidelines and organization goals</li>
<li>Adjusts strategy as indicated by performance metrics and/or organization need</li>
<li>Assures evidence-based practice and clinical best practice care standards, outcomes and metrics are established and held accountable</li>
<li>Collaborates with other department leaders to assure the smooth integration of Case Management/Social Work services across the continuum</li>
<li>Monitors and maintains JCAHO, federal and state regulatory readiness</li>
<li>Actively participates in the formulation and revision of administrative and departmental case management policies and procedures</li>
<li>Communicates and interprets policy additions/revisions to staff</li>
<li>Other duties as assigned</li>
<li>Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards</li>
<li>Understand and comply with Information Security and HIPAA policies and procedures at all times</li>
<li>Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties</li>
</ul>
Qualifications
 
<ul>
<li>Bachelor’s Degree in Nursing</li>
<li>Master’s Degree in Nursing and other health care related courses – Preferred</li>
<li>Minimum of 10 years acute care clinical experience</li>
<li>Minimum of 10 years case management leadership experience</li>
<li>New York State Licensed Registered Professional Nurse</li>
<li>Certification in Patient Review Instrument (PRI) and Screen</li>
<li>Certification in Case Management</li>
<li>Certification in Hospital Management strongly preferred</li>
<li>Broad knowledge of medical, nursing, and allied health sciences, community resources case management regulatory requirements, and the revenue cycle</li>
<li>PC experience word processing, spreadsheets, and case management/denials software structures</li>
<li>Strong understanding of CMS Conditions of Participation as it relates to utilization management, coordination of care and transition management</li>
<li>Knowledge of HIPAA and privacy regulations, healthcare laws, regulations and standards</li>
<li>Demonstrated leadership ability required</li>
<li>Proficiency in Microsoft Office Suite</li>
<li>Strong interpersonal skills, ability to communicate well at all levels of the organization</li>
<li>Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses</li>
<li>High level of integrity and dependability with a strong sense of urgency and results oriented</li>
<li>Excellent written and verbal communication skills required</li>
<li>Gracious and welcoming personality for customer service interaction</li>
</ul>
Working Conditions
 
<ul>
<li>Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes</li>
<li>Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Perform light lifting (up to 15 pounds)</li>
<li>Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress</li>
<li>Work Environment: Works in a well-lighted/ventilated office setting. Subject to frequent interruptions. Minimal occupational exposure to infectious diseases, blood borne pathogens, hazardous chemicals, noxious odors, latex, or musculoskeletal injuries. Operate Office machines properly and in accordance with Hospital safety standards. Ability to work in accordance with Hospital Safety Standards</li>
</ul>
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Vice President, Case Management

Springhill Medical Center

<div>The Case Management Director provides strategic and operational leadership for length of stay management, utilization review, and discharge planning in an acute care hospital. This role requires strong clinical judgment, payer and regulatory expertise, and physician-facing credibility to ensure appropriate level of care and timely progression of patients through the continuum. The Director leverages real-time throughput and LOS data, partners closely with medical staff and nursing leaders, and drives accountability and standard work to reduce avoidable days while ensuring safe, patient-centered discharges and regulatory compliance. 


Pre-Employment Requirements:
<ul><li>We are a drug free facility. Passing a pre-employment drug screening is required.</li></ul> 


Requirements and Qualifications:
<ul>
<li>Bachelor&rsquo;s degree in Nursing required; Master&rsquo;s degree preferred.
</li>
<li>Current Alabama RN license required, along with BLS and ACLS certifications.
</li>
<li>Minimum of 5&ndash;7 years of progressive experience in case management within an Acute Care hospital setting required, with a strong understanding of inpatient care coordination, utilization review, and discharge planning; leadership experience preferred.
</li>
<li>Strong knowledge of utilization review, discharge planning, and regulatory requirements.
</li>
<li>Excellent leadership, communication, and organizational skills.
</li>
<li>Certification in Case Management (CCM or ACM) preferred.
</li>
<li>Must be able to be on call; flexibility is required.
</li>
<li>Ability to manage multiple priorities in a fast-paced healthcare environment.
</li>
<li>Commitment to maintaining confidentiality and upholding professional standards.</li></ul></div>

Director of Case Management

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Director Case Management

Director Case Management

Division Director Case Management

Vice President, Case Management

Director of Case Management