Director of Case Management

Lake Charles Memorial Hospital; Lake Charles (LA); On-site; USD 95,000 - 135,000; Full time

Job summary

Lake Charles Memorial Hospital is seeking a Director of Clinical Case Management who will develop, implement and enforce policies to support the hospital's mission and objectives. The role reports to the VP of Financial Services and oversees budgeting, staffing, utilization management, and compliance with CMS standards.

You will lead a team, ensure licensure and education compliance, analyze information, and drive improvement while maintaining ethical, patient-centered care.

Qualifications

• RN or Social Work degree from an accredited college or university.
• Ten years as RN or SW; five years as case manager; three years in mid-management preferred.
• Current Louisiana RN license or Social Work license or Multi-State compact license.
• Computer knowledge: Internet, Word, Excel, Outlook; Sequel is an asset.
• CMS Standards knowledge related to Utilization Management/Utilization Review and Conditions of Participation.

Responsibilities

• Develops and enforces policies and procedures to support the hospital's mission, goals and objectives.
• Develops annual departmental budget and operates within budgetary guidelines.
• Recommends and ensures appropriate staffing levels; allocates resources by priority.
• Identifies and resolves problems in a timely manner.
• Gathers and analyzes information; develops alternative solutions and communicates clearly.

Education

RN or Social Work degree

Tools

Sequel

Word

Excel

Outlook

Job description

DESCRIPTION OF POSITION:

• The Director of Clinical Case Management develops, implements and enforces policies and procedures which support the Hospital's mission, goals and objectives.

SUPERVISION:

Reports directly to VP of Financial Services

RESPONSIBILITIES AND DUTIES:

• Ensures that staff complies with mandatory education, licensure requirements, mandatory health requirements, etc.
• Develops annual departmental budget and operates within budgetary guidelines.
• Recommends and ensures appropriate staffing levels. Allocates resources according to priorities.
• Identifies and resolves problems in a timely manner.
• Gathers and analyzes information skillfully.
• Develops alternative solutions.
• Generates creative solutions and attention to detail.
• Seeks increased responsibilities. Looks for and takes advantage of opportunities.
• Demonstrates persistence and follow through even when faced with adversity or challenges.
• Balances team and individual responsibilities.
• Exhibits confidence in self and others. Inspires and motivates others by persuasion rather than intimidation.
• Treats people with respect. Keeps commitments. Demonstrates integrity and ethical behavior.
• Exhibits sound and accurate judgment in decision making.
• Sets clear performance expectations and holds people accountable.
• Writes clearly and informatively. Varies writing style to meet needs.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

EDUCATION AND WORK EXPERIENCE

• RN or Social Work degree from an accredited college or university.
• Ten years experience as a RN or SW required, five years as a case manager and 3 years in a mid-management position preferred.
• Current Louisiana Registered Nurse license or Social Work license or Multi-State compact license.
• Computer knowledge for use of Internet, Word, Excel Outlook. Knowledge of Sequel an asset.
• Knowledge of CMS Standards related to Utilization Management and Utilization Review as well as Conditions of Participation.

Physical Demands/Work Environment

• Work requires a variety of physical activities, including moving about within and outside of all hospital properties for long periods of time.
• Must be able to respond quickly and effectively to emergency and non-emergent situations.
• May be required to assist in controlling disorderly conduct or combative patients.
• Must be able to exchange accurate information with patient, family, peers and medical personnel.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well‑being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.