Director of Case Management

Encompass Home Health   •  

Newnan, GA

Less than 5 years

Posted 235 days ago

This job is no longer available.

License and Certification:

• Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).

• If licensure is required for his/her discipline within his/her state, individual must hold an active license.

• Current CCM® or ACM™ certification is required or must be obtained within one year of being placed in the position.

 

  Education, Training and Years of Experience:

• For Nursing, must possess baccalaureate degree in Nursing (BSN) with RN licensure.

• For other eligible health care professionals, must possess a minimum of a baccalaureate degree and graduate degree is preferred.

• 3 years of hospital based Case Management experience including Utilization Review and Discharge Planning experience.

 

Essential Job Functions:

•          Performs all duties and responsibilities as described in Case Manager job description when providing case management services.

•          Manages caseload assignment of patients to case managers.

•          Oversees team conference process and educates staff in facilitation and reporting.

•          Leads daily case management operations meetings, represents department in hospital operations.

•          Analyzes reports from PATCOM, UDS, and Press Ganey.

•          Implements and educates case managers on effective utilization of the continuum of care and community resources.

•          Completes special projects and other duties as requested to support needs of organization.

•          Coordinates and supports hospital utilization review process.

•          Ensures compliance with CMS regulations and Conditions of Participations for discharge planning.

•          Assigns patient caseload to dept members and self for optimal service delivery.

•          Manages core staffing plan and employs flexible staffing plan as necessary.

•          Acts as a resource for case managers and other team members.

•          Coordinates with other department managers to direct quality of care delivery.

•          Participates in administrative on-call schedule and coordinates case management on-call schedule.

•          Reports questionable situations, concerns, complaints or harassment immediately.

•          Completes mandatory training and courses required by completion date.