Case Management Director
hace 7 días
Job Summary
The Director of Case Management is responsible for leading the implementation of the case management program at the hospital level. This role oversees the day-to-day workflow of Case Managers and Social Workers, ensuring regulatory compliance and quality improvement initiatives. The Director collaborates with the Chief Financial Officer and Quality Department to develop and maintain quality improvement programs and trending of data. Additionally, they maintain skills in case management and utilization review to cover staffing needs and facilitate daily Multidisciplinary Rounds to provide holistic patient care.
Key Responsibilities
• Provide leadership, education, and supervision for Case Managers and Social Workers
• Monitor Case Management Department's documentation to ensure regulatory compliance
• Collaborate with Chief Financial Officer and Quality Department to develop and maintain quality improvement programs
• Maintain skills in case management and utilization review to cover staffing needs
• Facilitate daily Multidisciplinary Rounds to provide holistic patient care
• Participate in discharge planning and provide necessary education and resources to meet the discharge needs of individual patients and families
• Promote efficient utilization of clinical resources and assure appropriate level of understanding, awareness, and compliance with all applicable Joint Commission, CMS, state and local agency laws, internal/external regulations, guidelines, policies, procedures, and professional standards
Requirements
• Working knowledge of payer requirements and discharge planning regulations
• Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes
• Self-motivated, proven communication skills, assertive, able to work independently and as a team member
• Demonstrated effective working relationships with physicians
• Graduate of a program of Registered Nursing
• Bachelor of Science in Nursing degree preferred
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