Market Case Management Director
Market Case Management Director
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Job Description
Market Case Management Director
Gallatin TN (Onsite)
The Market Director of Case Management will provide case management leadership and management for hospitals within the Clients market. The position will be responsible for management or delegation of daytoday operations including directing and planning. Formulate and implement operational strategies and initiatives in the case management program. Ensure staff competencies in all areas of care management to include utilization review transition/discharge planning and social work services. Provide specialized expertise ensure resource alignment with systemwide initiatives and update appropriate parties on case management strategies initiatives outcomes and issues. Successfully partner with physicians and others to ensure delivery of evidencebased care and reduction of avoidable clinical variation in care.
Collaborate with Hospital Executive Leadership Nursing Medical staff and other department stake holders to facilitate care in a safe environment.
MustHaves
Bachelors degree in Nursing Required
- State of Tennessee or MultiState Registered Nurse licensure Required
- Minimum four years management experience directing a Case Management Department in an acute care hospital.
- Working knowledge of Care Management department functions including Joint Commission and Conditions of Participation (COP) requirements.
- Good understanding of Medicare Medicaid and other thirdparty payment systems.
NiceToHaves
- BLS certification from the American Heart Association (AHA) or American Red Cross (ARC) Required within 30 days of hire if not current upon hire.
- Masters degree in Nursing Healthcare Administration or Business Administration
- Certification in Case Management such as CCM
Remote Work :
No
Employment Type
Full Time
