Director-Case Management
Job ID: 46046
Job Category: Nurse Leader
Work Type: Full Time
Work Schedule: Days
Department: Case Management Administration
Facility: BMH Union County Hospital
Location: New Albany, MS
Overview
Job Summary
Case Management Director-RN oversees a staff of case management RNs, LPNs, Social Workers, and/or Case Management Assistants responsible for patient care coordination, discharge planning, utilization review, and social services. The director ensures alignment of objectives and initiative to support organizational goals. A Case Management Director-RN evaluates patient care data to ensure that care is provided in accordance with clinical guideline and organizational standards.
Responsibilities
- Oversees transition management and discharge planning to promote length of stay, care coordination, and patient flow.
- Ensures consistency in workflows, documentation, quality, and outcomes of the department.
- Participates and supports readmission reduction strategies.
- Contributes to overall quality, patient satisfaction, and financial goals.
- Works with medical staff, nursing, administration, and other disciplines to improve care, reduce waste, increase efficiency, and achieve optimal outcomes.
- Supports revenue cycle activities supporting utilization review, medical necessity, payor requirements, and denial prevention.
- Ensures compliance with state and federal regulatory requirements, TJC accreditation standards, and CMS requirements.
- Accountable for budgeting and financial performance of the department.
- Interviews, hires, trains, and supervises of all employees of the department.
- Provides opportunity for professional growth through continued education and training.
- Performs other duties as assigned while supporting the mission, vision, and values to enhance quality, utilization, service delivery, and customer satisfaction.
Specifications
Experience
Minimum Required
- 5 years acute care nursing; 2 years of case management
Preferred/Desired
Education
Minimum Required
- Bachelors Degree as Registered Nurse
Preferred/Desired
- Master's degree as Registered Nurse
Training
Minimum Required
Preferred/Desired
Special Skills
Minimum Required
Preferred/Desired
Licensure
Minimum Required
- Current RN licenses in state which practicing
Preferred/Desired
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