Director, Case Management (14007)

Cullman Regional Medical Center, Inc.; Cullman (AL); On-site; USD 90,000 - 130,000; Full time

Job summary

Cullman Regional Medical Center in Cullman, AL seeks a Director of Case Management to lead interdisciplinary teams, coordinate care transitions, and optimize utilization while ensuring compliance with clinical guidelines.

You will oversee precertification, payer authorizations, MDR meetings, and process improvements, with a strong emphasis on patient safety and quality outcomes.

Qualifications

• Associate's degree in nursing or higher; Alabama license required.
• BSN preferred.
• Five years' clinical experience in acute care and hospital case management required.

Responsibilities

• Coordinate with physicians, nurses, social workers to expedite appropriate care.
• Facilitate precertification and payor authorization processes.
• Lead case management across the care continuum and promote performance.
• Apply quality improvement methods to evaluate outcomes.
• Assist director in duties and manage MDRs meetings and escalation.

Skills

Communication

Interpersonal skills

Organizational skills

Leadership

Prioritization

Education

Associate's degree in nursing or higher

BSN preferred

Tools

Microsoft Word

Microsoft Excel

Job description

# Director, Case Management (14007)Cullman Regional Medical Center - Cullman, AL 35056## OverviewPosition TypeFull TimeJob ShiftDayCategoryNurse## Description**Job Summary:*** Coordinate with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost effective care and appropriate transitions of care.* Facilitate precertification and payor authorization processes; facilitate collaborative management of patient care across the continuum; intervene as necessary.* Promote effective utilization and assume a leadership* Apply process improvement methodologies in evaluating outcomes of care.* Maintain and ensure adherence to clinical guidelines, tools, and protocols based on evidence quality-based medicine related to quality measure indicators.* Assist with and assume duties necessary for the case management department to function proficiently in absence of director. This includes but not limited to MDRs meeting attendance, assignment of duties, and escalation of issues.* Account for designated work load.* Demonstrate and encourage team behavior and exceptional patient/guest experiences.* Uphold and promote patient safety and quality.## Qualifications**Education:** Associate's degree in nursing or higher degree is required. Currently licensed by the state of Alabama. BSN preferred.**Experience:** Five years' clinical experience in acute care setting i.e., medical surgery critical care, ER, OR required. Hospital case management experience required. Management experience preferred.**Additional Skills/Abilities:** Skill and proficiency in applying highly technical principles, concepts and techniques that are central to case management. Advanced communication and interpersonal skills with all levels of internal and external customers. Must be proficient in Microsoft Word and Excel. Excellent organizational skills are required. Must be able to set priorities appropriately and handle multiple issues concurrently.