Director Case Management

Job Summary and Qualifications


The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization.

The Director has oversight for all aspects of daily hospital case management operations and is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with twenty-four hour (24) seven responsibility for all operational aspects of the Department. This position requires an executive presence and possess excellent communication and presentation skills, proven motivational capabilities, and a demonstrated accomplishment record of delivering results and attaining goals.

This position is a subject matter expert in case management that requires solid leadership, trust building, team building, as well as change management skills to ensure success of the department and case management initiatives. This position requires an individual who is a self-starter and has the ability to manage multiple priorities, work with minimal supervision on projects and activities, and demonstrate tact and diplomacy in situations of conflict and controversy.

This individual must be able to adapt quickly to change and coordinate efforts across multiple stakeholders.

Responsibilities:

• Directs and evaluates departmental operations, including the case management model, staffing (skill mix and FTEs), use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives.

• Allocates resources to effectively staff department and meet productivity and quality goals.

• Responsible for oversight of CM core functions and practice.

• Ensures the adherence to care coordination and discharge planning processes, ensuring timeliness, quality, and proper documentation.

• Works with the Facility CFO and Division CM Leader to achieve established goals and expectations.

• Assesses and improves the department's performance by evaluating operational processes, monitoring performance through analyzing data, and implementing sustainable performance improvement activities.

• Ensuring compliance with policies and SOP.

• Establish working relationships with key stakeholders to include CMO, CNO, ancillary service leaders, Ethics & Compliance, and Legal. Performs other duties as assigned.

• Performs other duties as assigned.

• Practices and adheres to the "Code of Conduct" and "Mission and Value Statement."

What qualifications you will need:

• Bachelor's degree Nursing

• Master's degree in Nursing, Health Administration, or Business Administration preferred

• 3+ years overall acute care HCM

• 2+ years of recent case management leadership required