Director- Case Management

Regal Recruitment Agency; Columbus (GA); On-site; USD 80,000 - 100,000; Full time

Job summary

A prominent recruitment agency is seeking a Case Management Director to manage the Case Management Department in Columbus, Georgia. The role requires a Bachelor's degree in Nursing, along with five years of experience in case management within an acute care hospital. Responsibilities include evaluating service effectiveness, managing departmental operations, and ensuring the delivery of quality patient care. Candidates must hold a valid RN license in Georgia and possess strong leadership and problem-solving skills.

Qualifications

• Five years of experience as Director of Case Management in an acute care hospital.
• Professional Registered Nursing licensure in Georgia is required.
• Strong understanding of case management principles and practices.

Responsibilities

• Manage Case Management Department functions.
• Establish goals, objectives, and performance standards.
• Evaluate effectiveness of Case Management services and ensure cost-efficiency.

Skills

Leadership skills

Clinical case management

Problem-solving skills

Education

Bachelor's degree in Nursing

Job description

Manages Case Management Department (includes Bed Board/Clinical Intake, Disease Management, Social Services, Discharge Planning, Precertification, and Denial management; plans, organizes, and directs all related functions and activities (internal and external); establishes goals, objectives, standards of performance; develops operating policies and procedures; interprets hospital policies, standards and regulations to appropriate staff, patients, medical staff and public.

Evaluates the effectiveness of Case Management services related to reimbursement for inpatient and outpatient services. Coordinates negotiates, and procures services and resources for the management of the care of complex patients to facilitate the achievement of quality and cost-efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Develops clinically-based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare through the identification of appropriate utilization of resources across the continuum of care.

Must-Havesh3>

• Bachelor's degree X Required
• Graduate of a Bachelor's Program in Nursing X Required
• Professional Registered Nursing licensure in state of GA.
• Five (5) years as a Director of Case Management working in short-term acute care hospital / directing discharge team.

Nice-To-Haves