director case management

Medical City Healthcare

<div>This position is incentive eligible. 
 
 
<h5 class="jobSectionHeader">**$10,000 Sign-On Bonus offered for Non-HCA Employees**</h5><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 Medical City North Hills.<h5 class="jobSectionHeader">
Benefits</h5>
Medical City North Hills 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>

Director Case Management

Tenet Healthcare

<div>Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At DMC Detroit Receiving Hospital, we&rsquo;re seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
Benefits Statement<div>
At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That&rsquo;s why we offer more than a job &ndash; we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
 
<ul><li>Medical, dental, vision, and life insurance</li><li>401(k) retirement savings plan with employer match</li><li>Generous paid time off (PTO)
</li><li>Career development and continuing education opportunities
</li><li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li><li>Employee Assistance program, Employee discount program</li><li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance.</li></ul></div>
Note: Eligibility for benefits may vary by location and is determined by employment status
Summary Description
Oversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
Integrates national standards for case management scope of services including:<ul><li>Utilization Management supporting medical necessity and denial prevention
</li><li>Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction</li><li>Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
</li><li>Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
</li><li>Education provided to physicians, patients, families, and caregivers</li></ul>
Responsibilities include the following activities: a) manages department operations to assure effective throughput and reimbursement for services provided, b) leads the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, c) ensures medical necessity review processes are completed accurately and in compliance with CMS regulations and Tenet policy, d) ensures timely and effective patient transition and planning to support efficient patient throughput, e) implements and monitors processes to prevent payer disputes, f) develops and provides physician education and feedback on hospital utilization, g) ensures compliance with state and federal regulations and TJC accreditation standards, and h) other duties as assigned.
Drafts policy provisions and provides interpretation of department policies, in accordance with the DMC Utilization Review Plan. Identifies the need for and drafts or defines procedures/protocols in collaboration with higher management input, goals, and objectives; modifies procedures/protocols, as necessary. Monitors the quality and productivity of staff to ensure work is completed. Implements performance improvement activities to insure consistency and safety within departmental activities. Initiates or recommends personnel actions such as hires, fires, disciplines, etc. Completes performance appraisals and ensures competency of staff. Assists in the development of daily, monthly, and/or yearly goals and measures for department, and as requested, assists in assessment of goal attainment. Assists in developing and monitoring budget. Monitors activities for and ensures compliance with laws, government regulations, Joint Commission requirements and DMC policies relating to areas of responsibility. As directed, implements external and internal audit recommendations.
POSITION SPECIFIC RESPONSIBILITIES:<div>
Department Operations 
<ul><li>Maintains an adequate number and skill mix over seven days a week to serve the patient population and meet the goals of the department</li><li>Implements and supports with business case staffing requests utilizing the Tenet Case Management staffing recommendations and hospital budgetary guidelines</li><li>Holds regular departmental meetings with staff to provide updates and provides for ongoing education</li><li>Completes initial and annual competency and evaluation review on all case management staff
</li><li>Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly competency for all employees performing InterQual reviews</li><li>Develops action plan for case managers that fail to meet the IRR acceptable &ldquo;match&rdquo; rate to ensure improvement in the accurate application of InterQual criteria</li><li>Ensures new case management staff complete department orientation including review of Tenet Case Management and Compliance policies and Allscripts training.</li><li>Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.</li></ul></div><div>
Utilization Management
 
 Implements and monitors processes to ensure medical necessity review processes are in place for patients to be in the appropriate status and level of care per Tenet policy. 
 Oversees submission of cases to Physician Advisor review to ensure timely referral, follow up and documentation. 
 Implements and monitors utilization review process in place to communicate appropriate clinical data to payers to support admission, level of care, length of stay and authorization for post-acute services. 
<ul><li>Advocates for the patient and hospital with payers to secure appropriate payment for services rendered</li><li>Participates in Revenue Cycle meeting, researching disputes, uncovering patterns/trends, and educating hospital and medical staff on actionable items</li><li>Implements and monitors physician &ldquo;peer to peer&rdquo; review process with payers to resolve denials or downgrades concurrently.</li><li>Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes</li><li>Monitors, analyzes, and reports Avoidable Days using the data to address opportunities for improvement</li><li>Participates and/or serves as lead for hospital Medicare Performance Improvement (MPI) initiatives.
</li><li>Utilizes Crimson data to provide timely and meaningful information to the Utilization Management Committee and physician staff for performance improvement.</li><li>Monitors to ensure that CMS Follow-up Important Message (IM) and HINN letters are delivered and documented per federal regulations and Tenet policy.</li></ul></div><div>
Transition Management 
<ul><li>Implements and monitors process to ensure that a transition plan assessment is completed within 24 hours of patient admission to identify and document the anticipated transition plan for patients</li><li>Ensures case management staff use electronic referral request process for patient placements</li><li>Monitors to ensure that patient choice is documented per CMS regulations and Tenet policy</li><li>Identifies and reports variances in appropriateness of medical care provided over/under utilization of resources compared to evidence-based practice and external requirements.
</li><li>Monitors to ensure case management staff document in the Tenet Case Management system to communicating information through clear, complete, and concise documentation
</li></ul></div><div>Care Coordination 
<ul><li>Works with Nursing and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to promote timely and appropriate throughput</li><li>Participates in daily bed management meeting to support timely and effective patient placement and transfer within the hospital</li><li>Monitors to ensures that patients have a plan of care that is clinically appropriate, consistent with patient choice and available resources</li><li>Monitors to ensures consults, testing and procedures are sequenced to support clinical needs with timely and efficient care delivery</li><li>Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care</li><li>Effectively collaborates with physicians, nurses, ancillary staff, payors, patients, and families to achieve optimum clinical outcomes
</li></ul></div><div>Education 
<ul><li>Provides education to physicians regarding medical necessity, complete and accurate documentation, and compliance with related regulatory requirements</li><li>Prepares and provides data to physicians and the hospital on utilization of resources</li><li>Provides education to case management staff, physicians, and the healthcare team relevant to the
</li></ul>o Effective progression of care,
 
o Appropriate level of care, and
 
o Safe and timely patient transition</div><div>
Compliance 
<ul><li>Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services</li><li>Ensures that the department structure and staffing, policies, and procedures to comply with the CMS Conditions of Participation and Tenet policies
</li><li>Operates within the RN scope of practice as defined by state licensing regulations</li><li>Implements and monitors compliance with Tenet Case Management practices 
</li></ul></div> 
 
Qualifications: 
Minimum Qualifications
1. Bachelor&rsquo;s degree in Nursing or other health-related field, or the equivalent combination of education and/or related experience or Master&rsquo;s in Social Work for MSW. Master&rsquo;s degree in Nursing, Business Administration or Hospital Administration preferred.
2. Registered Nurse or LCSW/LMSW license. Must be currently licensed, certified, or registered to practice profession as required by law or regulation in state of practice or policy. Active RN or LCSW/LMSW license for state(s) covered.
3. Three to five years of acute hospital case management leadership experience. Five years acute hospital case management experience preferred. McKesson InterQual&reg; experience preferred. Business planning experience preferred.
4. Accredited Case Manager (ACM) preferred.
Skills Required
1. Analytical ability to serve in an advisory/consultative role in determining and/or developing strategies, policies, processes, protocols and methods, frequently in the absence of guidelines or technical assistance, and to evaluate and direct complex systems that foster innovative approaches to procedures/processes. 
2. Fiscal skills to monitor and control costs and revenue. 
3. Ability to cope with stressful situations, manage multiple and sometimes conflicting priorities simultaneously. 
4. Strong communication and interpersonal skills for frequent contacts with internal customers as well as stakeholders external to the DMC to persuade or negotiate on a wide range of subjects in situations which may be controversial, sensitive and/or lead to confrontation. A mastery of a variety of communication modalities is required to include leading meetings, making formal presentations, and writing complex documents and managing complex relationships over time. 
5. Teaching abilities to conduct educational programs for staff. 
6. Project management skills including the ability to define program, project, or process objectives, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological and fiscal resources to accomplish goals and objectives in a resourceful yet timely manner. 
7. Leadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support. 
8. Technical knowledge of community resources, regulatory requirements, reimbursements, and utilization management procedures in order to function
Facility Description
DMC Detroit Receiving Hospital, Michigan&rsquo;s first Level I Trauma Center, helped pioneer the evolution of emergency medicine and currently has one of the busiest and most well-equipped emergency departments anywhere. The first and largest verified burn center in the state is at Receiving, and it is one of only 43 in the nation. Receiving also offers the state&rsquo;s leading 24/7 hyperbaric oxygen program, Metro Detroit&rsquo;s first certified primary stroke center, and the nationally recognized and accredited DMC Rosa Parks Geriatric Center of Excellence.
EEO Statement:
Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program.
Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.<div>
<div>
JOB: </div>Case Management
</div><div><div>PRIMARY LOCATION: </div>Detroit, Michigan
</div><div><div>FACILITY: </div>DMC Receiving Hospital
</div><div><div>JOB TYPE: </div>Full Time
</div><div><div>SHIFT TYPE: </div>Day
</div>
Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. 
Tenet participates in the E-Verify program. Follow the link below for additional information. 
E-Verify: http://www.uscis.gov/e-verify 
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2606000735</div>

Director - Case Management

Good Shepherd Services

<div>Good Shepherd Services seeks a results-driven, energetic, and compassionate leader to serve as the Director of Case Management/Social Services for its 17th Street Residential Programs. This role provides strategic and hands-on leadership within a youth-centered, family-focused framework, promoting safety, permanency, and well-being for female adolescents residing in a 35-bed, 24/7 hard-to-place group residence. 
 
The Director oversees all case management services within the child welfare system, continuously assesses program strengths and areas for growth, and ensures high-quality, compliant service delivery. This position collaborates closely with internal leadership, multidisciplinary teams, and external partners including ACS, OCFS, and the Family Court system, and partners closely with the Director of Behavioral Health and Director of Residential Life to advance program goals and Good Shepherd Services&rsquo; mission.
Reports To: Vice President, Youth &amp; Family Well-Being 
Location: 337 East 17th Street, New York, NY 10003 
Schedule: 35 hours per week / Exempt 
Salary: $110,000 - $125,000
<h1 class="jobSectionHeader">Major Duties &amp; Responsibilities:</h1>
<ul><li>Provide leadership to integrate, sustain, and continuously strengthen high-quality case management practices across the group residence.</li>
<li>Promote permanent connections for youth, including reunification, foster boarding home placement, adoption, and alternative permanent living arrangements.</li>
<li>Embed a Family Systems approach through supervision, treatment team structures, and program practices.</li>
<li>Ensure all city and state mandates and regulations are communicated, understood, and adhered to by the case planning team.</li>
<li>Oversee compliance with all mandated documentation and records related to ACS, OCFS, Family Court, permanency hearings, and Good Shepherd Services&rsquo; Impact &amp; Evaluation requirements.</li>
<li>Collaborate closely with Residential Life leadership and Behavioral Health teams to address systemic and individual casework needs.</li>
<li>Participate in internal and external committees, meetings, workgroups, and task forces related to youth advocacy and child welfare.</li>
<li>Provide direct supervision to the Assistant Director of Social Services and support the Case Planning team, including assessment of training needs.</li>
<li>Partner with the FTC facilitator to center youth and family voice and choice while maintaining focus on safety, permanency, and well-being goals.</li>
<li>Work with the Impact &amp; Evaluation Department on data integrity, documentation, outcome monitoring in Connections, and required reporting.</li>
<li>Collaborate with Good Shepherd Services support departments including IT, Training, Human Resources, and Government Contracts.</li>
<li>Assist with stabilization, crisis management, respite services, and provide on-call support as needed.</li>
<li>Provide emergency coverage when required, including home visits and court appearances.</li>
<li>Perform other duties as assigned.</li>
</ul>
Qualifications:
<ul><li>Education, Licensure, and Experience:</li>
<li>LMSW or equivalent required; LCSW preferred.</li>
<li>Minimum of five (5) years of supervisory experience with demonstrated leadership and managerial skills.</li>
<li>Seminar in Field Instruction (SIFI) preferred.</li>
<li>Experience working with adolescents and older youth in residential settings and with families.</li>
</ul>
Required Physical Demands and Work Environment:
<ul><li>Ability to work flexible hours, including possible on-call responsibilities.</li>
<li>Ability to travel throughout NYC using public transportation.</li>
</ul>
Knowledge, Skills, and Abilities:
<ul><li>Strong working knowledge of ACS child welfare systems, Family Court processes, and OCFS standards of practice.</li>
<li>Experience with Connections (CNNX), Legal Tracking System (LTS), Permanency Hearing Reports (PHR), Family Assessment and Service Plans (FASP), and Family Team Conferences (FTC).</li>
<li>Proficiency in Microsoft Office applications.</li>
<li>Excellent interpersonal, written, and verbal communication skills.</li>
<li>Strong organizational skills with the ability to manage multiple priorities and deadlines.</li>
<li>Collaborative leadership style and strong team orientation.</li>
<li>Commitment to trauma-informed, strength-based, youth and family development principles.</li></ul></div>

Director of Case Management / Social Services

NavitasPartners

<div>Director of Case Management (Acute Care Setting Experience Required) 
Location: Las Vegas, NV

Salary Range: $135,004 &ndash; $202,555 (Based on experience) 
Annual Incentive Bonus: Up to 17.5% 
Sign-On Bonus: $10,000 
Relocation Assistance: Available on a case-by-case basis 
Schedule: Full-time | Day Shift (7&ndash;10 hour shifts) | Rotating Weekend On-Call

<h2 class="jobSectionHeader">Position Overview</h2>

The Director of Case Management will provide comprehensive operational and clinical leadership for Case Management, Social Work, and Chaplaincy services. Reporting to divisional executive leadership, this role oversees a large, multidisciplinary team of approximately 110 FTEs, including multiple managers and supervisory staff.

<h2 class="jobSectionHeader">Key Responsibilities</h2>
<ul><li>Provide strategic leadership for Case Management services, ensuring optimal utilization of clinical resources and seamless continuity of care</li>
<li>Oversee daily departmental operations including staffing, workforce planning, budgeting, and technology integration</li>
<li>Lead performance improvement initiatives through data analysis, KPI monitoring, and implementation of sustainable quality outcomes</li>
<li>Collaborate with executive leadership including CFO, CMO, CNO, and compliance/legal teams to align operational and strategic goals</li>
<li>Develop and maintain strong partnerships with physicians and post-acute care providers to enhance discharge planning and care transitions</li>
<li>Drive staff development, competency management, and leadership growth within a high-volume trauma environment</li>
</ul><h2 class="jobSectionHeader">Qualifications</h2>

Education:
<ul>
<li>Bachelor&rsquo;s degree required</li>
<li>Master&rsquo;s degree (MSN, MHA, MBA, or related field) strongly preferred</li>
</ul>
Licensure:
<ul>
<li>Active RN license, LCSW, or LMSW required</li>
</ul>
Experience:
<ul>
<li>Minimum 3+ years of acute care hospital case management experience</li>
<li>Minimum 2+ years of leadership experience in a case management setting</li>
</ul>
Core Competencies:
<ul>
<li>Strong executive presence and leadership capability</li>
<li>Proven success in high-acuity, high-volume hospital environments</li>
<li>Ability to analyze complex operational data and implement effective solutions</li>
<li>Excellent communication, presentation, and stakeholder management skills</li>
<li>Self-driven leader with a track record of driving measurable outcomes</li>
</ul>
For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.</div>

Director of Case Management (Acute Care Setting Experience Required) - DCM#01

<div>Position: Director of Case Management &ndash; Acute Care (Leadership Role) 
Location: Nashville, TN

Compensation &amp; Benefits
<ul>
<li>Salary Range: $109,762 &ndash; $135,000 (commensurate with experience)</li>
<li>Annual Incentive Bonus: Up to 17.5%</li>
<li>Sign-On Bonus: $10,000</li>
<li>Relocation Assistance: Available on a case-by-case basis</li>
<li>Schedule: Full-time | Day Shift (Administrative hours)</li>
<li>Work-Life Balance: No weekends required (occasional late coverage/on-call as needed)</li>
</ul><h3 class="jobSectionHeader">Position Overview</h3>

A leading 407-bed Level I Trauma Center and comprehensive acute care facility is seeking an experienced Director of Case Management to provide strategic and operational leadership for its Case Management department. This high-acuity environment supports nearly 18,000 annual admissions and requires strong leadership to optimize patient flow, resource utilization, and quality outcomes.

Reporting to the Division Vice President of Case Management, you will oversee a team of approximately 26 FTEs and serve as the primary leader for care coordination, discharge planning, and utilization management across the facility.

<h3 class="jobSectionHeader">Key Responsibilities</h3>

Strategic Leadership
<ul>
<li>Lead and optimize the hospital&rsquo;s case management model with a focus on reducing length of stay (LOS) and improving throughput</li>
<li>Develop and implement strategies to enhance patient flow and hospital capacity management</li>
</ul>
Operational Oversight
<ul>
<li>Manage staffing structure, hiring, onboarding, training, and competency development</li>
<li>Ensure departmental productivity, efficiency, and performance standards are consistently met</li>
</ul>
Data &amp; Performance Improvement
<ul>
<li>Analyze utilization and operational data to identify trends and performance gaps</li>
<li>Develop and execute improvement initiatives based on data-driven insights</li>
</ul>
Cross-Functional Collaboration
<ul>
<li>Partner closely with executive leadership including CFO, CMO, and CNO</li>
<li>Collaborate with interdisciplinary teams and external stakeholders to ensure continuity of care</li>
</ul>
Regulatory &amp; Compliance
<ul>
<li>Ensure adherence to all internal policies, procedures, and regulatory requirements</li>
<li>Maintain compliance in discharge planning and utilization management standards</li>
</ul><h3 class="jobSectionHeader">Qualifications</h3>

Education
<ul>
<li>Bachelor&rsquo;s degree required</li>
<li>Master&rsquo;s degree in Nursing (MSN), Healthcare Administration (MHA), or MBA preferred</li>
</ul>
Licensure
<ul>
<li>Active RN license, LCSW, or LMSW required</li>
</ul>
Experience
<ul>
<li>Minimum 3+ years of recent acute care hospital case management experience</li>
<li>At least 2+ years of leadership experience in case management or care coordination</li>
</ul>
Core Competencies
<ul>
<li>Strong executive presence and leadership capability</li>
<li>Advanced analytical and data interpretation skills</li>
<li>Proven experience in change management and process improvement</li>
<li>Ability to navigate complex clinical and operational environments with professionalism and diplomacy</li>
</ul>
For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.</div>

Director of Case Management – Acute Care - Nashville, TN (Full Time, Direct Hire)

Detroit Wayne Mental Health Authority

<div>
 Case Manager
 
 
 Under the general supervision of the VP of Direct Clinical Services, the Case Manager &ndash; Outpatient Clinics is responsible for managing an assigned caseload of members having behavioral health needs by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; and monitoring staff performance.
 
 
 
 Principal Duties And Responsibilities
 
 
 
 Manages an assigned caseload of members having behavioral health needs.Assesses member needs, evaluates treatment options, creates treatment plans, coordinates care and monitors member progress. Develops,monitors, and evaluates treatment plans and progress.Provides core care management services by providing comprehensive care management, care coordination and referrals to community and social support.Plans and coordinates care management needsregardingmedical, psychiatric, substance use, crisis intervention, legal, housing, education/employment, entitlements, social, and peer support services.Conducts screenings and assessments of high-risk needs such as substance use, psychiatric symptoms, harm to self/others, abuse/neglect, or domestic violence. Conducts monitoring and follow-up services.Facilitates rehabilitative and treatment services.Provides comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs.Develops,monitors, and evaluates treatment plans and progress.Manages discharge plans upon completion of treatment.Works collaboratively with members, families, physicians, and nurses to ensure high quality care.Maintains the member's comprehensive clinical record through detailed documentation.Arranges for the intervention of social services, health, or governmental agencies when needed.Determinesthe need for therapeutic, psycho-social, or psychiatric evaluations based on member progress.Interacts with members to ensure they are informed about their treatment plan and answers any member&rsquo;s questions and concerns.
 
 
 Writes case reports.Works with agencies and service providers tofacilitatecase coordination and information sharing.Coordinates the integration of the social services/case management function.Reviews treatment goals and resources.Participates in the development and implementation of member care policies and protocols.Promotes effective and efficientutilizationof clinical resources.Participates in regular interdisciplinary staff meetings. Provides face-to-face reviews with members and/or relevant staff on a regular basisregardingmember progress so that treatment plans can bemodified, as necessary, to ensure that the treatment goals andobjectivesare being achieved. Participates in interagency planning and service coordination activities directed to improve and enhance service continuity and effectiveness for members.Monitors staff performance.Performs related duties as assigned.KNOWLEDGE, SKILLS AND ABILITIES (KSA&rsquo;S)
 
 
 Knowledge of DWIHN policies, procedures, and practices.Knowledge of the DWIHN provider network and community resources.Knowledge of the Michigan Mental Health Code.Knowledge of MDHHS policies, rules, regulations, and procedures.Knowledge of Federal policies, rules, regulations, and procedures as it relates to DWIHN.Knowledge of MHWIN.Knowledge of the LOCUSandMichiCANsassessments.Knowledge of the clinical care process (screening, assessment, treatment planning, case management, and continuing care).
 
 
 Knowledge of and ability to use screening and assessment tools for behavioral health services.Knowledge of the continuum of care for all SED, SMI, Co-Occurring Disorders.Knowledge of Outpatient, Co-Occurring services, CM, ACT, Supported Employment, and Med Drop. Knowledge of behavioral health case management practices and principles.Knowledge of Integrated Care services for behavioral health patients.Knowledge of Medical Necessity Criteria for Behavioral Health Services.Knowledge of the Federal Confidentiality Regulations, 42 CFR, Part 2. Knowledge of Motivational Interviewing.Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and Substance Abuse Chapter III, State Plan for Medicaid, Michigan Department of Health and Human Services Quality Plan, BBArequirementsand the Mental Health Code.Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.Knowledge of crisis training and experience in de-escalation, i.e., suicide prevention, development of crisis plans, trauma informed care, etc.Knowledge of the identification and treatment of co-occurring mental health and substance use disorders. Knowledge of community mental health services and resources.Knowledge of the DSM-V Statistical Manual. Administration skillsAssessment skills.Evaluation skills.Organizational skills.Planning skills.Report writing skills.
 
 
 Problem Solving skills.Decision Making skills.Critical Thinking skills.Interpersonal skills.Communication skills.Active Listening skills.Collaboration skills.Coordination skills.Computer skills (Word, Excel, Access, Power Point, Outlook, Teams).Teamwork Skills.Ability to communicate orally.Ability to communicate in writing.Ability to work effectively with others.Ability to work with an ethnically, linguistically, culturally, economically, and socially diverse population.Judgement/Reasoning ability.
 
 
 
 Required Education
 
 
 
 A Bachelor&rsquo;s Degree from a recognized college or university in Social Work, or a related field.
 
 
 
 Required Experience
 
 
 
 Two (2) years of professional clinical experience in a behavioral healthcare or mental health setting including at least one (1) year of experience performing case management in a behavioral healthcare or mental health setting.
 
 
 At least two (2) years of clinical experience working with children and/or youth.
 
 
 MichiCANs certification preferred, or must be willing to complete the training and become certified
 
 
 
 Required License(s).
 
 
 
 A Valid State of Michigan clinical licensure preferred: LBSW
 
 
 A valid State of Michigan Driver&rsquo;s License with a safe and acceptable driving record.
 
 
 
 Working Conditions
 
 
 
 Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan.
 
 
 
 
 This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed.  Management retains the discretion to add or change the position at any time.
 
 
 
 
 Please Note:  DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.
 
 
 PI283466749
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Case Manager - DOC

Anew Behavioral Health

<div>
 
 
 Who Is Anew?
 
 
 
 
 Anew is an outpatient behavioral health provider that helps individuals facing mental health and substance use disorders.
 
 
 
 
 Why Work at Anew?
 
 
 
 
 
 
 Flexible &amp; Supportive Culture:
 
 
 Growth, work-life balance, and flexibility are built into every role.
 
 
 
 
 Fun Work Environment:
 
 
 Get involved in community outreach, holiday events, team parties, monthly &ldquo;First Friday&rdquo; all-staff events, and much more!
 
 
 
 
 Recovery Friendly Workplace:
 
 
 We are a certified Recovery Friendly Workplace that values lived experience and understanding.
 
 
 
 Comprehensive Benefits
 
 
 
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 Weekly Pay
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 Paid time off
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 Company-paid holidays
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 Benefits Eligibility on Start Date
 
 
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 If you are looking for more details about us, please visit https://anewbh.com/.
 
 
 
 Summary
 
 
 
 The SUD Case Manager provides comprehensive support and coordination of care for clients facing substance use challenges. This role involves assessing client needs, developing individualized service plans, and collaborating with multidisciplinary teams to ensure the delivery of effective and client-centered services. The Case Manager is dedicated to facilitating clients' recovery and promoting their overall well-being and independence.
 
 
 
 Duties And Responsibilities
 
 
 
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 Coordinate and provide care that is safe, timely, effective, efficient, and client-centered.
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 Manage case assignments, draft service plans, and review case progress regularly.
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 Advocate for clients, assisting them in making informed decisions regarding their clinical status and treatment options.
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 Collaborate with therapists, clients, and client family members to ensure all client behavioral health needs are met.
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 Facilitate clients in achieving personal independence and assist in developing daily living skills.
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 Perform other duties as assigned.
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 Upholds Documentation and Billing practices associated with CARF, CMS, and as training indicates.
 
 
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 Supervision Given
 
 
 
 This position does not supervise any staff.
 
 
 
 Supervision Received
 
 
 
 The Behavioral Health Case Manager reports to their assigned Operations Managers.
 
 
 
 Qualifications
 
 
 
 <ul>
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 Strong interpersonal skills and the ability to communicate effectively with clients, families, and professionals.
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 Knowledge of behavioral health practices and community resources.
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 Ability to work independently and as part of a team.
 
 
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 Education
 
 
 
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 High school diploma or equivalent is required;
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 a college degree in Human Services is preferred.
 
 
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 </ul>
 
 Certification
 
 
 
 <ul>
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 CDCA licensure
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 NPI number/Ohio Medicaid ID is required (instructions on how to apply will be provided).
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 CPR certification is preferred.
 
 
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 </ul>
 
 Experience
 
 
 
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 Minimum of 3 years in behavioral health or a related field is preferred, but not mandatory.
 
 
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 Physical Effort
 
 
 
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 Requires sitting for extended periods and occasional lifting of up to 20 pounds.
 
 
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 Background
 
 
 
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 Must pass all Federal and State background checks according to company policy.
 
 
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 </ul>
 
 Schedule
 
 
 
 <ul>
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 Flexible scheduling options allow for accommodating personal availability, enabling as little or as much work as desired.
 
 
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 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 Flexible schedule.
 </li>
 </ul>
</div>

SUD Case Manager (CDCA)

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