Director of Case Management

GENERAL SUMMARY OF DUTIES

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.

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 a minimum of two years’ experience in hospital‑based nursing.

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 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.

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

Graduate of a program of Registered Nursing.

Bachelor of Science in Nursing degree preferred.