Summary: Responsible for the leadership and management of utilization and case management activities of more than one hospital. Oversees the management of the financial resources of the patient and family through the coordination of quality service delivery, working to ensure financial reimbursement of each individual case as required by third party payors.
The individual also is involved in the management relationships with payor and referral sources, the facilitation and coordination of the discharge planning process and serves as the patient and family advocate. Directs and manages the coordination of the Case Management program with the Quality Management and Infection Control Departments and other departments as appropriate. Collaborates closely with the area hospital CEOs/Administrators, CFOs, CCOs, District and Regional Offices.
Sign On Bonus up to $10k DOE
Case Manager Director, Case Management Director, Director Case Management, Case Manager, Director, Case Management, CCMC, RN, Registered Nurse, RN, Utilization Review, Hospital, Healthcare, Long Term Acute Care, Transitional Care Hospitals, Leadership
Bachelors degree in clinical area required. Bachelor of Science in Nursing preferred. Equivalent combination of education, training, and experience may substitute for education requirements.
Licenses/Certification: Healthcare professional licensure as Registered Nurse, Respiratory Therapist, Physical Therapist, Occupational Therapist or Social Worker required. Appropriate certification in Case Management preferred for example, Commission for Case Manager Certification (CCMC) Association of Rehabilitation Nurses (ARN) certification.
Experience: Minimum three years experience in Hospital Case Management.
Job Number: 321789