Director Case Management job will be responsible for case management, utilization review, discharge planning, and social services, as well as annual plans and budgets. Handle the financial resources of the patient and family, by coordinating the delivery of quality service. Manage relationships with the payers, physicians, hospital referral sources, and your case management staff. Help facilitate the discharge-planning process, and serve as an advocate for the patient and family. Work to ensure financial reimbursement of every individual case.
Education: 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: Current healthcare professional licensure as Registered Nurse, Respiratory Therapist, Physical Therapist, Occupational Therapist or Social Workerrequired.
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
Should be knowledgeable in TQM/QI and have recent experience as a Case Manager in insurance, workers compensation or medical management.