Functioning within the Health System s mission values objectives and policies and procedures under the general direction of the Chief Nursing Officer Functioning within the Health System s mission values objectives and policies and procedures the Director of Case Management provides overall direction for the clinical care coordination program which includes the coordination negotiation and procurement of care of patients to achieve quality and cost effective patient outcomes throughout the continuum of care of the patient which includes all health care settings from acute inpatient treatment through follow up in the office chronic disease management and preventative care. This involves working collaboratively with interdisciplinary staff internal and external to the organization. The Director has twentyfour (24) hour accountability for the management of human fiscal and physical/material resources of the Case Management department and is responsible for budgeting quality control and oversight of those who provide case management and discharge planning services. The Director ensures that initiatives are in place to assure that quality cost containment patient and physician satisfaction and associate engagement goals are met facilitates the performance improvement process to improve care transitions reduce readmissions improve throughput and maintain high levels of professional practice; and integrates the findings into interdisciplinary hospital activities to effect change. The Director collaborates with other disciplines in case review to identify opportunities for improving patient care outcomes reduction of future risk and enhancing customer satisfaction. The Director provides resource and consultation to senior leadership regarding care coordination and regulatory standards. The Director promotes innovation team building and processes that enhance work environment. This position utilizes and disseminates research and best practices recommendations to enhance evidencebased practice and autonomous decision making. Upon approval the Director implements monitors and measures both clinical and financial success.
Responsibilities also include serving as a resource to staff and interpreting philosophy goals standards policies and procedures. The Director collaborates with other LMHS leaders to create and implement an operational plan that is in alignment with LMHS strategic plan.
Requirement description :
- A minimum of five (5) years of experience in case management discharge planning or other cost/quality management program is required.
- A minimum of three (3) years experience in a hospital clinical role is required.
- Previous supervisory/management experience is strongly preferred.
- BSN Required Masters Degree preferred
- OH RN License Required
- BLS & ALCS (AHA) Required
- PALS and TNCC Required within 6 months
Profile Requirements: - Work history
- Skills Checklist current to 1 year pertinent to the specialty
CERTIFICATION REQUIREMENTS :
STATE LICENSE REQUIREMENTS :
ADDITIONAL LICENSE REQUIREMENTS : Must be active!
Weekend Requirements : As Needed
On Call Requirements : As Needed