An esteemed organization is seeking a Director of Case Management to provide leadership and strategic direction for the organizations case management utilization review and discharge planning functions. This role focuses on enhancing patient care quality satisfaction and operational efficiency. The Director is accountable for planning coordinating and evaluating comprehensive patient management programs to align with the organizations mission vision and strategic objectives.
Key Responsibilities -
Strategic Leadership
- Develop and implement departmental goals and objectives aligned with the organizations strategic plan.
- Promote the mission vision and values of the organization.
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Patient Care Management
- Coordinate social services and case management functions into patient care and discharge processes.
- Perform concurrent medical record reviews in compliance with TJC CMS and state regulations.
- Advocate for patients by investigating adverse events and educating staff on resource utilization and discharge planning.
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Interdisciplinary Collaboration
- Facilitate interdisciplinary rounds to optimize care plans and resource utilization.
- Develop and execute patient care policies and protocols in collaboration with clinical staff.
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Performance Monitoring and Improvement
- Evaluate patient satisfaction and quality of care delivery.
- Monitor resource utilization from admission to discharge to ensure costeffectiveness.
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Communication and Advocacy
- Maintain effective communication with physicians patients and families to ensure alignment with care goals.
- Present denial letters and handle associated communication as required.
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Human Resources and Financial Management
- Oversee staffing training and resource allocation within the department.
- Support physicians in maintaining cost efficiency and achieving patient outcomes.
Qualifications MustHaves:
- Bachelors Degree in Nursing (BSN) or higher.
- Active Arizona or Compact State Registered Nurse license.
- BLS certification upon hire.
- Minimum of 2 years as a Director of Case Management in a critical care hospital.
Preferred Qualifications:
- CCM or ACM Certification.
- Masters Degree in a relevant field.
- 5 years in case management leadership or upper management in a critical care hospital.
Pay Range:
- $120K$140K per year plus additional benefits and signon bonus of $20K
Schedule:
Work Location: