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Job description
Director Of Case Management
Our client is seeking a Clinical Case Manager to provide ongoing support and expertise in patient care management. This role involves conducting comprehensive assessments, planning, implementing, and evaluating individual patient needs in a healthcare setting. The overall goal is to enhance the quality of patient management and satisfaction, promote continuity of care, and ensure cost-effectiveness by integrating case management, utilization review, and discharge planning processes. The Clinical Case Manager will be responsible for the care coordination and discharge planning for all patients.
Key Responsibilities:
Promote the mission, vision, and values of the organization.
Assist in developing departmental goals, standards, and objectives that align with the strategic plan and organizational vision.
Integrate social services and case management functions with various hospital departments, external service organizations, and healthcare facilities.
Conduct concurrent medical record reviews using established criteria and guidelines approved by medical staff, state agencies, and regulatory bodies.
Act as a patient advocate by investigating and reporting adverse occurrences and educating staff on resource utilization, discharge planning, and psychosocial aspects of healthcare delivery.
Mobilize resources and conduct interviews as necessary to achieve desired clinical outcomes within the designated timeframes.
Ensure the appropriate utilization of services from admission through discharge.
Evaluate patient satisfaction and quality of care provided.
Initiate and present denial letters as required.
Assess patient care needs across the continuum of care, including diagnosis, procedures, and treatment plans.
Communicate regularly with physicians to maintain effective working relationships.
Assist physicians in managing costs per case while achieving the desired patient outcomes.
Introduce the clinical case manager role to patients and their families, explaining the process and providing contact information.
Facilitate interdisciplinary patient care rounds and conferences to review treatment goals, optimize resource utilization, provide family education, and address post-hospital needs.
Collaborate with clinical staff to develop and execute care plans that achieve treatment goals.
Contribute to the development and implementation of patient care policies and protocols to address special patient needs or cases.
Coordinate social services for patients and families, providing support to manage the impact of illness and ensure optimal use of healthcare resources.
Must-Haves:
Graduate of a Program in Nursing at Bachelors of Science level or higher required
Certifications: BLS required upon hire
Arizona Registered Nurse and/or Compact State Registered Nurse required
Minimum of 2 years as director of Case Management in a critical care hospital required
Nice-To-Haves:
CCM or ACM Certification preferred
Master's degree preferred
5 years in Case Management leadership or leadership in critical care hospital upper management
Required Skills:
Bonus Relocation Signing Nursing Healthcare Conferences Reviews Education Planning Leadership Science Management
Salary Package: $ 118,000.00 - 150,000.00 (US Dollar)
Worksite address
fort mohave, AZ, 86426, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.