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Case Management Director (Ottumwa, IA)
Title: Case Management Director
Status: Full-Time
Location: Ottumwa, IA
Salary: Salary to be discussed with Bryant Staffing Solutions recruiter
Relocation Assistance: Some relocation assistance available
Visa: No visa sponsorships supported
Description:
The Director of Case Management’s primary responsibilities include: The manager of case management is responsible and accountable for implementing the case management program at the hospital level. The components/roles of the inpatient case management program consist of care facilitation, utilization management, case management, and discharge planning.
Responsibilities:
Status: Full-Time
Location: Ottumwa, IA
Salary: Salary to be discussed with Bryant Staffing Solutions recruiter
Relocation Assistance: Some relocation assistance available
Visa: No visa sponsorships supported
Description:
The Director of Case Management’s primary responsibilities include: The manager of case management is responsible and accountable for implementing the case management program at the hospital level. The components/roles of the inpatient case management program consist of care facilitation, utilization management, case management, and discharge planning.
Responsibilities:
- Provide leadership, education, and supervision for the day-to-day workflow of Case Managers and Social Workers.
- Monitor Case Management Department’s documentation to ensure meets regulatory compliance.
- Collaborate with Chief Financial Officer and Quality Department to develop and maintain quality improvement programs and trending of data (e.g. Avoidable Days, Readmissions).
- Maintain skills in case management and utilization review to allow for coverage of patient caseload to cover staffing needs of all areas of hospital.
- Communicate with physicians concerning patient needs and aid with development of appropriate plan of treatment and assist with level of care and bed placement assignments
- Directly responsible for personnel actions including hiring, performance appraisals ,employee schedules, and maintain payroll records and time reports in KRONOS.
- Facilitate daily Multidisciplinary Rounds to provide collaboration with other disciplines to provide holistic patient care.
- Participate in discharge planning. Provides necessary education and resources to meet the discharge needs of individual patients and families.
- Active participant of Utilization Review Committee and Revenue Recycle Committee.
- Promote efficient utilization of clinical resources.
- Promotes the appropriate amount of resources are used based on patient acuity.
- Assures appropriate level of understanding, awareness and compliance with all applicable Joint Commission, CMS, state and local agency laws, internal/external regulations, guidelines, policies, procedures and professional standards.
- Other duties as assigned
- Working knowledge of payer requirements and discharge planning regulations that support the effect for the development of departmental policies, procedures and standards.
- Working knowledge of Medicare, managed care, inpatient, outpatient and home health continuum, as well as utilization management, discharge planning and case management.
- Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
- Working knowledge of concepts of associated with performance improvement.
- Self-motivated, proven communication skills, assertive, able to work independently and as a team member.
- Demonstrated effective working relationships with physicians.
Education:
- Graduate of a program of Registered Nursing
- BSN preferred
Experience:
- Minimum of 2 years of Case Management experience in utilization management, case management, discharge planning or other cost/quality management program
- 2 to 3 years of management experience
- Minimum of 2 years of experience in hospital-based nursing
Certificates/Licenses:
- Iowa Mandatory Reporter – Child and Dependent Adult Abuse Certificates
- Current Iowa RN license or multistate RN license
- Comprehensive Medical, Dental, Vision Insurance options
- 401K Retirement Plan
- Competitive Paid Time Off / Extended Illness Bank package
- Employee Assistance Program – mental, physical, and financial wellness assistance
- Tuition Reimbursement/Assistance for qualified applicants
Department: Health Science
This is a management position
This is a full-time position