Director- Case Management

Job Description

Manages Case Management Department (includes Bed Board/Clinical Intake, Disease Management, Social Services, Discharge Planning, Precertification, and Denial management; plans, organizes, and directs all related functions and activities (internal and external); establishes goals, objectives, standards of performance; develops operating policies and procedures; interprets hospital policies, standards and regulations to appropriate staff, patients, medical staff and public.

Evaluates the effectiveness of Case Management services related to reimbursement for inpatient and outpatient services. Coordinates negotiates, and procures services and resources for the management of the care of complex patients to facilitate the achievement of quality and cost-efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Develops clinically-based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare through the identification of appropriate utilization of resources across the continuum of care.

Must-Haves

Bachelor's degree X Required

Graduate of a Bachelor's Program in Nursing X Required

Professional Registered Nursing licensure in state of GA.

Five (5) years as a Director of Case Management working in short-term acute care hospital / directing discharge team.
Nice-To-Haves