Director Of Case Management
Director Of Case Management
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1 Vacancy
Job Description
The Director will provide ongoing support and expertise aligned with strategic plan to Medical Center through comprehensive assessment planning implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integrating and functions of case management utilization review and management of discharge planning.
Responsibilities:
- Accountable for the care coordination and discharge planning of all patients.
- Promotes the mission vision and values of the organization
- Assists in developing specific departmental goals standards and objectives which directly support strategic plan and vision of the organization.
- Coordinate the integration of social services/case management function into the patient care discharge and home planning processes with other hospital departments external service organizations agencies and healthcare facilities.
- Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff TJC CMS and other state agencies.
- Acts as patient advocate: investigates and reports adverse occurrences and performs staff education related to resource utilization discharge planning and psychosocial aspects of healthcare delivery.
- Mobilizes resources and interviews as needed to achieve expected goal to assist in achieving desired clinical outcomes within the desired timeframe.
- Ensure that patient test are appropriate utilization of services from admission through discharge.
- Evaluate patient satisfaction and quality of care provided.
- Initiates and presents denial letters as appropriate
- Asses patient care required throughout the continuum of care for diagnosis procedures and DRGs
- Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship.
- Assist physicians in maintaining appropriate cost per case and desired patient outcomes.
- Introduces self to patient and family and explains clinical case manager role and process for patient and family to contact clinical case manager.
- Facilitates interdisciplinary patient care rounds and/or conferences to review treatment goals optimize resource utilization provide family education and identify posthospital needs.
- Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals.
- Directs and participates in the development and implementation of patient care policies and protocols in order to provide advice and guidance in handling special cases or patient needs.
- Coordinates the provision of social services to patients families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.
MustHaves :
- Graduate of a Program in Nursing at Bachelor of Science level or higher required
- Certifications: BLS required upon hire Arizona Registered Nurse and/or Compact State Registered Nurse required
- A minimum of 2 years as director of Case Management in a critical care hospital required
Nice to Haves :
- CCM or ACM Certification preferred Masters degree preferred
- 5 years in Case Management leadership or leadership in critical care hospital upper management
THE SECTION IS FOR OUR INTERNAL INNER OFFICE USE ONLY. PRIVATE RECRUITER. INFORMATION WILL BE DISPLAYED IF RECEIVED DO NOT REVEAL INFORMATION HERE WITH CANDIDATES
AUTHORIZAITON TO POST JOB NOWFEE UPDATE PLEASE READ AND FOLLOW ALL INFO CLIENT WILL VERIFY WITH CANDIDATE THE RULES WERE FOLLOWED THANK YOU!
- ESTIMATED FEE: $1994.46
- CLIENT: N/A
- PROBATION: 90 days
- SALARY: USD
- EXPERIENCE: 225 yrs / POSITIONS: 2
SALARY
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CLIENT NAME
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Salary Range: The salary will be offered Based on the candidates Interview and skillsets. The range mentioned is for your knowledge only and should not be conveyed to the candidate. Please ask about the candidates expectations and avoid mentioning the upper limit of the salary.
MUST HAVES/ADDITIONAL INFO IF PROVIDED BY CLIENT:
Required Citizenship / Work Permit / Visa Status : Must be US citizen
MustHaves :
Graduate of a Program in Nursing at Bachelors of Science level or higher required Certifications: BLS required upon hire Arizona Registered Nurse and/or Compact State Registered Nurse required Minimum of 2 years as director of Case Management in a critical care hospital required
Strict NoNos : n/a
Nice to Haves :
CCM or ACM Certification preferred Masters degree preferred 5 years in Case Management leadership or leadership in critical care hospital upper management
Target Companie: N/A
INFORMATION BELOW CAN BE SHARED WITH CANDIDATES:
CLIENT INTERVIEW STEPS AFTER SUBMITTAL: N/A
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This section is for reviewing postscreening questions from the client if received. Please verify the email address and phone number. Ensure these questions are asked to candidates. This step is mandatory for submission; candidates will not be submitted without it thank you
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Employment Type
Full Time
