Director of Case Management

Ruby Recruiting; United States; On-site; USD 100,000 - 140,000; Full time

Job summary

Ruby Recruiting is seeking a Director of Case Management to oversee the case management program at the Hospital. This role is pivotal in ensuring safe patient discharge while adhering to regulatory guidelines.

The ideal candidate will have at least 5 years of healthcare experience, including 2 years in a management role, and possess a Bachelor's degree in Nursing or a related field. Strong communication and analytical skills are essential.

Qualifications

• Current California Registered Nurse; certification in Case Management and/or Utilization Management preferred.
• Minimum 5 years of healthcare experience, 2 years of Director or Supervisory/Management experience required.
• Excellent communication skills and ability to work at all levels of the organization.

Responsibilities

• Direct the case management program and related functions.
• Coordinate systems for safe and appropriate patient discharge.
• Oversee the annual review of the Case Management/Utilization Management Plan.

Skills

Excellent communication and facilitation skills

Analytical skills

PC Based Software Skills

Education

Bachelors Degree in Nursing or Health Care

Tools

Clinical software

Job description

Under general supervision, the Director of Case Management will direct the case management program, including the functions of case management, utilization management, and discharge planning for the Hospital. The Director of Case Management is responsible for coordinating those systems necessary for safe and appropriate discharge as well as utilization management practices that meet all corporate, facility and regulatory guidelines. The director assesses and evaluates the care/services rendered, staffing levels, competency and educational needs of the case management staff and effectively coordinates and controls resources. The Director provides consultation and education to facility leadership, clinical and financial personnel, the Board of Trustees, and medical staff members related to case management including utilization management and discharge planning practices. The Director oversees the annual review of the Case Management/Utilization Management Plan of the hospital. The Director will identify and implement processes that support and promote efficient patient throughput across the HealthCare continuum resulting in optimal clinical outcomes, appropriate utilization of resources and appropriate & accurate reimbursement.

Qualifications

• Current California Registered Nurse; certification in Case Management and/or Utilization Management or equivalent preferred BLS
• Minimum: 5 years health care experience, 2 years Director or Supervisory/Management experience required; Health care regulatory and accreditation requirements
• Preferred: 5 years experience in Case Management
• EDUCATION REQUIREMENTS: Minimum: Bachelors Degree in Nursing and/or other Bachelors Degree in Health Care field; (BSN, BS in Healthcare)
• Preferred: National Certification in Case Management or equivalent preferred (CCM or ACM)
• KNOWLEDGE/SKILLS: Minimum: Excellent communication and facilitation skills; Ability to work with individuals at all levels of the organization, Analytical skills; PC Based Software Skills
• Preferred: Experience in facilitating or leading project teams, professional boards or committees

Additional Information

All your information will be kept confidential according to EEO guidelines.