Director, Case Management & Care Transitions

Crmchospital; Cullman (AL); On-site; USD 80,000 - 110,000; Full time

Job summary

Crmchospital in United States, Alabama is seeking an experienced Case Manager to coordinate care across the acute care continuum and support transitions of care.

Responsibilities include facilitating precertification, promoting efficient utilization, and leading process improvements while ensuring adherence to clinical guidelines and patient safety. BSN preferred and five years of hospital case management experience are desirable.

Qualifications

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

Responsibilities

• 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 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.

Skills

MS Word

MS Excel

Advanced communication

Interpersonal skills

Organizational skills

Prioritization

Education

Associate's degree in nursing

BSN preferred

Job description

Crmchospital in United States, Alabama is seeking an experienced Case Manager to coordinate care across the acute care continuum and support transitions of care.

Responsibilities include facilitating precertification, promoting efficient utilization, and leading process improvements while ensuring adherence to clinical guidelines and patient safety. BSN preferred and five years of hospital case management experience are desirable.