Director of Case Management - Iowa - confidential

    confidential
    confidential Iowa

    1 day ago

    $90,000 - $145,000 (USD) per year * Healthcare
    Description

    Case Management Director

    Ottumwa, IA

    Full Time

    Must-Haves

    Graduate of a program of Registered Nursing.

    Minimum of two years of Case Management experience in utilization management, case management, discharge planning or other cost / quality management program.

    Current RN license in the state of Iowa or a multistate license allowing to work in the state of Iowa

    The Director of Case Management's primary responsibilities include: The manager of case management is responsible and accountable for the implementation of the case management program at the hospital level. The components/roles of the inpatient case management program consist of the following: care facilitation, utilization management, case management and discharge planning.

    SUPERVISES – Case Managers and Social Workers

    DUTIES INCLUDE BUT ARE NOT LIMITED TO

    • Provide leadership, education and supervision for the day to day workflow of Case Managers and Social Workers.
    • Monitor Case Management Department's documentation to ensure meets regulatory compliance.
    • Collaborate with Chief Financial Officer and Quality Department to develop and maintain quality improvement programs and trending of data (e.g. Avoidable Days , Readmissions) .
    • Maintain skills in case management and utilization review to allow for coverage of patient caseload to cover staffing needs of all areas of hospital.
    • Communicate with physicians concerning patient needs and aid with development of appropriate plan of treatment and assist with level of care and bed placement assignments .
    • Directly responsible for personnel actions including hiring, performance appraisals ,employee schedules, and maintain payroll records and time reports in KRONOS.
    • Facilitate daily Multidisciplinary Rounds to provide collaboration with other disciplines to provide holistic patient care.
    • Participate in discharge planning. Provides necessary education and resources to meet the discharge needs of individual patients and families.
    • Active participant of Utilization Review Committee and Revenue Recycle Committee.
    • Promote efficient utilization of clinical resources.
    • Promotes the appropriate amount of resources are used based on patient acuity.
    • Assures 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.
    • Other duties as assigned.

    KNOWLEDGE, SKILLS & ABILITIES

    • Working knowledge of payer requirements and discharge planning regulations that support the effect for the development of departmental policies, procedures and standards .
    • Working knowledge of Medicare, managed care, inpatient, outpatient and home health continuum, as well as utilization management , discharge planning and case management .
    • Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
    • Working knowledge of concepts of associated with performance improvement.
    • Self-motivated, proven communication skills, assertive, able 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.

    EXPERIENCE

    • Minimum of two years of Case Management experience in utilization management, case management, discharge planning or other cost/quality management program.
    • Two to three years previous management experience is preferred with minimum of two years' experience in hospital- based nursing.

    CERTIFICATE / LICENSE

    • Iowa Mandatory Reporter – Child and Dependent Adult Abuse Certificates
    • Current RN license in the state of Iowa or a multistate license allowing to work in the state of Iowa
    * This salary range is an estimation made by beBee
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Director of case management