MedStar Southern Maryland Hospital Center

Director of Case Management

MedStar Southern Maryland Hospital Center • $120K — $216K *
Baltimore, MD 21215In-Person
Healthcare
Less than 5 years of experience
1 week ago
Job Overview by Ladders

Qualifications

  • Master's degree in Nursing, Healthcare Administration, Business Administration, or related field required.
  • 3-4 years of progressive leadership experience preferred.
  • Experience in Case Management, Social Work, or Utilization Review required.
  • Registered Nurse (RN) license in Maryland or DC upon hire.
  • CCM certification preferred within 90 days.

Responsibilities

  • Plan, organize, coordinate, and direct Utilization Case Management and Discharge Planning Programs.
  • Develop and manage department operating budget and resources.
  • Select, train, and assign department staff; conduct performance evaluations and development planning.
  • Contribute to the creation and revision of clinical pathways and guidelines at hospital and system levels.
  • Coordinate patient transitions to ensure timely and cost-effective care across all hospital services.
  • Oversee psychosocial assessments, counseling services, and discharge planning support.
  • Monitor effectiveness of policies regarding length of stay and resource utilization.

Benefits

  • Comprehensive health insurance.
  • Professional development opportunities.
  • Flexible work schedules.
  • Support for obtaining certifications like CCM.
  • Engagement in community outreach programs.
Full Job Description
About the Job

General Summary of Position
Plans organizes coordinates and directs the Utilization Case Management and Discharge Planning Programs. Monitors discharge planning services and counseling to patients and their families and consultation to medical staff regarding patient management.

Primary Duties and Responsibilities
  • Develops and contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Ensures compliance with hospital/facility policies and procedures and governmental/accreditation regulations.
  • Develops and recommends department operating budget and manages resources according to approved budget.
  • Selects trains orients and assigns department staff. Delegates tasks as appropriate. Develops standards of performance evaluates performance and conducts performance management planning. Identifies individual staff development needs and provides appropriate resources to meet needs. Initiates or makes recommendations for personnel actions. Maintains ongoing communication with subordinates to review programs provide feedback discuss new developments and exchange information.
  • Contributes to the development review revision and implementation of clinical pathways procedures and guidelines at the hospital and system level.
  • Coordinates the facilitation of patient transition from area to area in a timely cost effective manner. Assures that the hospital-based program encompasses preadmission emergency room admitting acute care discharge follow-up sub-acute and rehabilitation.
  • Directs and participates in the provision of social services in the areas of psychosocial assessment and counseling crisis intervention child abuse home health care oncology and other support groups' discharge planning.
  • Ensures the delivery of quality care to inpatients and outpatients by identifying patient needs and developing social service programs to meet those needs.
  • Monitors and evaluates the effectiveness of policies and practices with regard to length of stay and utilization of resources.
  • Oversees monthly monitoring and reporting of critical data on LOS discharges clinical and teaching outcomes denials overturned denials and other reports.
  • Provides direction and support regarding Utilization Management Case Management Discharge Planning and Social Work.
  • Serves as the hospital liaison to payers in matters pertaining to utilization of acute care services. Makes recommendations regarding third party case management contracts.
  • Participates in meetings and on committees and represents the department and business unit in community outreach efforts. Participates in multidisciplinary quality and service improvement teams and maintains effective working relationships with other departments.

Minimal Qualifications
Education
  • Master's degree in Nursing (MSN) Healthcare Administration Business Administration or related field required

Experience
  • 3-4 years 4 years progressive leadership preferred and
  • Experience in CM/SW/UR required

Licenses and Certifications
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure in the State of Maryland or District of Columbia Upon Hire required and
  • CCM - Certified Case Manager within 90 Days preferred

Knowledge Skills and Abilities
  • Excellent problem-solving skills and ability to exercise independent judgment.
  • Business acumen and leadership skills.
  • Strong verbal and written communication skills with ability to effectively interact with all levels of management internal departments and external agencies.
  • Working knowledge of various computer software applications preferred.


This position has a hiring range of

USD $58.03 - USD $104.12 /Hr.

About MedStar Southern Maryland Hospital Center

MedStar Southern Maryland Hospital Center is a medical facility located in Clinton, Maryland. It is a 192-bed acute care hospital that provides a range of services including emergency care, cardiology, cancer care, orthopedics, and women's health. The hospital is part of the MedStar Health system, which is the largest healthcare provider in Maryland and the Washington, D.C. region. MedStar Southern Maryland Hospital Center is committed to providing high-quality, compassionate care to its patients and improving the health of the communities it serves.
Learn more about MedStar Southern Maryland Hospital Center
Size
1,200 employees
Industry
Healthcare
* Ladders Estimates

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