Director Care Management

Job Number:

31575

Location:

Phoebe Putney Memorial Hospital

Street Address:

417 W 3rd Ave

City, State:

Albany, Georgia

Zip Code:

31701

Department:

PPMH CARE MANAGEMENT

Shift:

Job Type:

Full time

Posted Date:

2025-04-15

Job Description Summary:

Description:

Responsible for directing the overall Care Management program, staff, and operations including resource allocation, budgeting, planning, and regulatory compliance. The Director CM sets priorities and provides administrative leadership for functions of utilization review, care management/care coordination, denial management, social work, and transition planning. He/she provides leadership and direction to ensure department roles and functions support consistent practice and outcomes involving appropriate level of care, resource utilization, associated revenue cycle activities, safe patient discharge, care transitions, and readmission prevention. The Director works collaboratively with the Physician Advisor and participates in System and Organizational Performance Improvement initiatives; works to build relationships with key internal and external stakeholders; provides education about CM program functions, payer, and regulatory requirements including current trends and potential impact on the department, hospital or system.

EDUCATION REQUIREMENTS 

4 year Bachelor's Degree in Nursing, Healthcare Administration (Required)

Master's Degree in Nursing or related field (Preferred) 

EXPERIENCE REQUIREMENTS
4+ years of Acute care case management (Required)
5+ Years of Management and leadership experience with a minimum of 2+ years at the Director level in a comparable setting (Required)

   
CERTIFICATIONS AND LICENSURES

Required Certifications/Licensures: Registered Nurse (RN) with a  current Georgia license OR a Licensed Clinical Social Worker (LCSW)
Preferred Certifications/Licensures: Certified Case Manager (CCM), Accredited Case Manager, Case Management Administrator Certified