Director of Case Management

hace 2 semanas


Madrid, Madrid, España Medcruit A tiempo completo
Job Summary

The Director of Case Management is responsible for leading the implementation of the case management program at the hospital level. This role involves overseeing the day-to-day workflow of Case Managers and Social Workers, ensuring regulatory compliance, and collaborating with the Chief Financial Officer and Quality Department to develop quality improvement programs.

Key Responsibilities
  • Provide leadership, education, and supervision to Case Managers and Social Workers
  • Monitor case management documentation to ensure regulatory compliance
  • Collaborate with the Chief Financial Officer and Quality Department to develop quality improvement programs
  • Maintain skills in case management and utilization review to cover staffing needs
  • Communicate with physicians concerning patient needs and aid in developing treatment plans
  • Directly responsible for personnel actions, including hiring, performance appraisals, and employee schedules
  • Facilitate daily Multidisciplinary Rounds to provide collaboration with other disciplines
  • Participate in discharge planning and provide necessary education and resources to meet patient and family needs
Requirements
  • Working knowledge of payer requirements and discharge planning regulations
  • Working knowledge of Medicare, managed care, inpatient, outpatient, and home health continuum
  • Ability to work collaboratively with healthcare professionals to achieve established goals and improve quality outcomes
  • Self-motivated, proven communication skills, and ability to work independently and as a team member
  • Demonstrated effective working relationships with physicians
Education

Graduate of a program of Registered Nursing. Bachelor of Science in Nursing degree preferred.



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