Director of Case Management & Utilization Excellence

Direct Staffing Inc; Indio (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

A healthcare staffing firm is seeking a Case Management Department Manager to oversee hospital operations, ensuring effective resource utilization and compliance with regulations. The ideal candidate must have an active RN license and a minimum of 2 years of leadership experience in acute hospital case management. Responsibilities include managing department operations, implementing performance improvement plans, and ensuring adherence to compliance standards. Strong communication and organizational skills are essential for success in this fast-paced environment.

Qualifications

• Must hold an active Registered Nurse License.
• Minimum of 2 years of experience in acute hospital case management leadership.
• Strong organizational skills and ability to communicate effectively.

Responsibilities

• Manage department operations for effective throughput and reimbursement.
• Lead the implementation of Utilization Management Plan and improve performance.
• Ensure medical necessity review processes comply with regulations.

Skills

Organizational skills

Excellent verbal communication

Excellent written communication

Critical thinking

Problem-solving skills

Computer literacy

Education

Active Registered Nurse License

2 years acute hospital case management leadership experience

Job description

A healthcare staffing firm is seeking a Case Management Department Manager to oversee hospital operations, ensuring effective resource utilization and compliance with regulations. The ideal candidate must have an active RN license and a minimum of 2 years of leadership experience in acute hospital case management. Responsibilities include managing department operations, implementing performance improvement plans, and ensuring adherence to compliance standards. Strong communication and organizational skills are essential for success in this fast-paced environment.