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Registered Nurse (RN) – Director of Case Management
POSITION TYPE: Registered Nurse (RN)
SPECIALTY UNIT: Director of Case Management
LOCATION: Hickory, NC
SHIFT: Days
JOB TYPE: Full-Time Permanent
Job Description and Responsibilities:
The Director of Case Management is responsible for the oversight of the Case Management unit, including but not limited to clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review. This person will be accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and adherence to a designated Geometric Length of Stay (GLOS) for each patient.
- Responsible and accountable for the management of staff and services related to Case Management.
- Accountable for the effective and efficient management of continuum of care services.
- Provides education and leadership in directing a comprehensive Clinical Case Management program that coordinates efforts toward a seamless Continuum of Care.
- Assists leadership to ensure the stability and reputation of the hospital by ensuring compliance with all legal, licensure, and accreditation requirements.
- Acts as a liaison to the Central Business Office to ensure that all Accounts and Revenue activity is being handled timely and appropriately.
- Maintains 24-hour accountability.
- Embrace and consistently demonstrate our hospital initiatives, encompassing both patients and employees.
Knowledge / Skills:
- Demonstrates comprehensive knowledge of Case Management in the Acute Care setting.
- Comprehension of the importance of clinical care progression, patient education and resource management required.
- Knowledge of Utilization Review, IS/SI criteria, reimbursement issues, and HCFA guidelines.
- Ability to recognize the needs and concerns of people and to maintain constructive relationships in dealing with them.
- Ability to communicate effectively orally and in writing.
- Participates in counseling and guidance of personnel.
- Acts as a mediator between patient concerns and administration.
- Ability to assume a leadership role with the Case Management Team to coordinate the delivery of services for patients and their families.
Job Benefits:
- Competitive salary
- Direct Deposit
- 401K
- Comprehensive Health, Dental, and Vision benefits
- Employee discount program
- Excellent room for growth and advancement
Requirements:
- Current Registered Nurse (RN) license in state of practice.
- Masters in Nursing or related field preferred, may consider Bachelors/Associates with significant experience.
- ACMA Certification preferred.
- Must have worked in acute care in the past 5 years and prefer demonstrated increasing leadership over time.
- Minimum of 5 years recent clinical or Case Management experience required.
- Previous management experience REQUIRED.
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