The Manager of Case Management will assist in the direction of the Case Management program, including the functions of case management, utilizationmanagement, resource management, discharge planning, and care coordination for the facility. The Manager of Case Management is responsible for assisting in the coordination of the systems necessary for safe and appropriate discharges, as well as utilization management practices that meet corporate, division, facility, and regulatory guidelines. The Manager of Case Management will assess and evaluate the care/services provided, staffing levels, competency, and educational needs of the case management staff and effectively coordinates and controls resources. The Manager of Case Management provides consultation and education to facility leadership, clinical, and financial personnel, the Board of Trustees, and medical staff members related to case management practices. The position assists the Director of Case Management who oversees the annual review of the Case Management/Utilization Management Plan of the hospital. The position will assist in the identification and implementation of processes that support and promote efficient patient throughput across the Healthcare Continuum resulting in optimal clinical outcomes, appropriate utilization of resources, appropriate patient status, level of care, and appropriate and accurate reimbursement.
HCA is the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes 166 hospitals and 114 outpatient centers in 20 states and England. At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies.
Minimum, ADN, BA or BSN degree in nursing or other healthcare related field. Master's degree preferred.
Preferred: National Certification in Case Management (ACM or CCM)
Minimum five (5) years experience in acute care nursing, two (2) years experience in management in the acute setting, in the area of case management, throughput, and/ or utilization management
Excellent communication skills, positive attitude with excellent customer service skills. Advanced knowledge of levels of care criteria; strong leadership skills. Good financial management. Strong knowledge of regulatory standards for federal payers, Joint Commission, and other insurance companies.