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Swepsonville

    Director (Part Time) - Swepsonville, NC, United States - Duke Health

    Duke Health
    Duke Health Swepsonville, NC, United States

    3 weeks ago

    Duke Health background
    Part time
    Description

    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community.

    No matter where your talents lie, join us and discover how we can advance health together.
    About Duke Regional Hospital

    Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina, which ranks as the number four hospital in the Raleigh-Durham, North Carolina area, accordingto U.News and World Report for Duke Regional Hospital is the second largest of Duke Health's three hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.


    Duke Nursing Highlights:
    Duke University Health System is designated as a Magnet organization
    Nurses from each hospital are consistentlyrecognized each year as North Carolina's Great 100 Nurses.

    Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.

    Duke University Health System has registered nurses

    Quality of Life:
    Living in the Triangle
    Relocation Assistance (based on eligibility)

    In conjunction with the Health System AVP for Care Coordination, this position provides daily operational oversight, management and leadership for staff of the Case Management Department whose activities are associated with the continuum of care, clinical cost reduction, utilization management, care transitions, population management, quality, performance improvement, reimbursement and discharge planning.

    Ensures efficient and professional services designed to meet the needs of the patients, personnel, medical staff, students, hospital and health system strategic objectives.

    Requires extensive knowledge of the continuum, conditions of participation and reimbursement structures.

    Position requires data analysis, presentations, collaboration with all other disciplines and development of educational programs for hospital and physician staff.

    clinical staff and oversight of clerical staff.
    Delegate responsibilities as appropriate, providing administrative and clinical

    Provide clinical supervision for provisionally licensed staff, meeting both requirements of the Department and NC Certification and Licensure Board.

    On an annual basis, develop measurable, reasonable and market-oriented goals for the department that reflect those of the hospital, health system and the department.

    Ensure that the Utilization Management and the Discharge Planning process are current.
    Establish policies, procedures and protocols for departmental functions.

    Establish and maintain relationships with medical staff and faculty both internally and externally, working collaboratively to achieve hospital, medical staff and health system objectives.

    Develop structures and processes to facilitate participation by physicians, pharmacists, nurses, Social Workers and other health professionals in multidisciplinary care planning, care delivery, utilization review and discharge planning.

    Assist AVP with evaluating effectiveness of case management program, researching industry best practices and operational benchmarks to conduct feasibility studies and make recommendations regarding program design and implementation.

    Collect and analyze data to identify opportunities for program redesign and performance improvement.
    Provide orientation and ongoing education to staff.
    Resolve conflicts related to discharge planning with patients/families, external agencies and payers.

    Collaborate with third party payers and community agencies to establish procedures to ensure smooth transition of patients through the continuum of care and ensure excellent customer service.

    Serve as a liaison with Billing and Collections and Patient Access Services regarding denials.

    Direct utilization review activities for the hospital, interfacing with external payers and review companies to determine appropriate medical necessity of admissions and continued hospitalization.

    Work with the AVP to ensure the department is meeting regulatory body standards.
    Conducts staff performance evaluations.
    Computer skills including word processing, spreadsheets and relational databases desired. Must possess excellent written and verbal communication skills, interpersonal & team building skills.

    Masters degree in a healthcare field

    At least 2 of the years of related experience must be in a management role.

    DIR, CASE MANAGEMENT

    Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.


    Duke aspires to create a community built on collaboration, innovation, creativity, and belonging.

    Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.

    To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard.

    All members of our community have a responsibility to uphold these values.

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