Integrated Talent Strategies (ITS) is seeking a Case Manager to work in the Henderson, NC area working for a leading Health Care Facility This is a full time, Senior role that offers a variety of great benefits including competitive salary, health insurance, 401(k), and paid time off.
Relocation and Signing Bonus.
The Case Management Director is the first line manager designated as the leader for Case Management team. The responsibilities of the Case Management Director include, but not limited to, the accountability and responsibility for the departmental functions of case management, concurrent coding, utilization review, financial outcomes management, social work and patient education. Please see requirements and responsibilities listed below.
Reports to: Chief Financial Officer
Responsibilities of the Position:
Develops and implements departmental goals, plans, and standards consistent with the clinical,
administrative, legal, and ethical requirements/objectives of the organization.
Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives, monitors, and evaluates departmental budgets, and ensu, res that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits.
Creates and fosters an environment that encourages professional growth.
Integrates evidence-based practices into operations and clinical protocols.
Provides clinical leadership for the Patient Care Coordinators and Social Worker for day to day issues regarding quality, resource management, utilization review, and discharge planning.
Reviews the delivery of services and care provided in the acute care setting for medical necessity, appropriateness, and conformance to professional standards developed by the Hospital, managed care, and regulatory organizations.
Collaborates with Nursing Director regarding interdisciplinary patient care rounds.
Participates in hospital and departmental safety programs.
Other responsibilities as assigned by leadership.
Minimum Education:
Bachelors degree preferred
Masters degree preferred or an equivalent work experience and education.
Required Certification:
BLS (Basic Life Support) from AHA (American Heart Association)
Minimum Work Experience:
Previous acute care Case Management Director required.
Required Skills:
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
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