Nurse Director of Case Management

Confidential Company  •  Brownsville, TX

Less than 5 years experience  •  Patient Care

$80K - $110K ($80K - $110K base + Yes)
Posted on 07/22/17 by Quentin Pittman
Confidential Company
Brownsville, TX
Less than 5 years experience
Patient Care
$80K - $110K
($80K - $110K base + Yes)
Posted on 07/22/17 Quentin Pittman

Nurse Director of Case Management 



Industry: Healthcare / Health Services - Hospital Administration

Job Category: Medical / Health - Nurse Leadership

The individual in this position has overall responsibility for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.   

This position integrates national standards for case management scope of services including:

• Utilization Management supporting medical necessity and denial prevention

• Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction

• Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care 

• Compliance with state and federal regulatory requirements, accreditation standards and Tenet policy

• Education provided to physicians, patients, families and caregivers

Required qualifications include an active Registered Nurse license with at least two years acute hospital case management leadership experiencers, MSN, MHA, MBApreferred.

  • Accredited Case Manager (ACM) preferred. McKesson InterQual® experiencepreferred.
  • Five years acute hospital case management experiencepreferred.

Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast paced environment, critical thinking and problem solving skills and computer literacy. Business planning experiencepreferred.

Skills and Certifications [note: bold skills and certification are required]

  • RN License
  • 2 years of acute hospital case management leadership experience


Full-time Benefits - Full
Relocation Assistance Available - Yes
Bonus Eligible - Yes

Candidate Details

  • 2+ to 5 years experience

Management ExperienceRequired - Yes
Minimum Education - Associate's Degree
Willingness to Travel - Occasionally


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