Schedule:

Full time

Shift:

Day (United States of America)

Address:

1035 RED BUD RD NE

City:

CALHOUN

State:

Georgia

Postal Code:

30701

Job Description:

Work Schedule: Monday - Friday 8:30am - 5pm
• Directs daily operations of the care management department, including discharge planning, care coordination, progression of care, and social services while ensuring compliance with CMS and regulatory standards.
• Oversees recruitment, retention, and staffing strategies to maintain strong care management leadership and team performance.
• Collaborates with interdisciplinary hospital leaders and executives to achieve organizational and patient care goals.
• Identifies improvement opportunities and leads operational, technology, and workflow initiatives to improve efficiency, patient outcomes, and reduce readmissions.
• Develops, implements, and ensures compliance with care management policies, standard work, and operational strategies across the department.

Knowledge, Skills, and Abilities:
• Understanding of medical necessity for appropriate patient status and level of care
• Understanding of Care Management best practices
• Ability to research and reason best practices to support process improvement
• Strong verbal and electronic communication skills
• Ability to analyze, evaluate and monitor data in addition to provide action plans
• Supports positive employee relations and customer experience
• Understanding of Microsoft Office Products and other appropriate software platforms
• Understanding of CMS Conditions of Participation for Discharge Planning
• Understanding of Managed Care and Value Based Programs
• Ability to work autonomously with self-direction
• Ability to work as a collaborative partner of a diverse leadership team
• Ability to lead and sustain change
• Knowledge of change management principles, methodologies, and tools [Required]
Education:
• Bachelor's in Nursing [Required]• Master's in Nursing [Preferred]

Work Experience:
• 5+ direct care management experience [Required]
• 3+ care management leadership experience [Required]• 2+ frontline nursing experience [Required]
Licenses and Certifications:
• Registered Nurse (RN) [Required]• Accredited Case Manager (ACM) [Preferred]• Certified Case Manager (CCM) [Preferred]

Pay Range:

$89,916.80 - $167,252.91