Director Of Case Management

Discover the Buzz About Us:

Welcome to Hunt Hive Talent Recruiting Agency where we specialize in connecting talented professionals with exciting opportunities. Our client is looking for a dedicated and experienced Director of Case Management to join their team. If you have a passion for healthcare leadership and case management we want to hear from you!

About the Role:

The Director of Case Management is responsible for implementing and managing the case management program at the local level. This role involves developing systems and processes for care/utilization management and discharge planning. The Director will oversee the departments activities related to discharge planning and clinical quality improvement ensuring appropriate and effective use of hospital resources.

Position Summary:

The Director of Case Management will lead the case management program ensuring that hospital resources are used effectively. The role involves overseeing financial and quality data collection analysis and reporting related to utilization management quality improvement and performance improvement. The Director will promote interdisciplinary collaboration foster teamwork and champion service excellence.

Key Responsibilities:

• Care Facilitation: Oversee care facilitation utilization management case management and discharge planning.
• System Development: Develop and implement systems for care/utilization management and discharge planning.
• Financial Oversight: Manage the departments budget ensuring revenue expenses and contribution margins meet or exceed targets.
• Team Leadership: Lead and mentor a highperforming team fostering a culture of collaboration and excellence.
• DataDriven Decisions: Use data to drive decisions plan and implement performance improvement strategies for case management.
• Education and Communication: Educate physicians managers staff patients and families about the case management process.

MustHaves:

• Certifications: One of the following certifications: CCM ACM or FAACM.
• Licensing: Current and valid license to practice as a Registered Nurse in the state of Texas.
• Experience: Minimum five (5) years of experience in utilization management case management discharge planning or other cost/quality management programs.
• Nursing Experience: Three (3) years of experience in hospitalbased nursing.
• Supervisory Experience: Two (2) years of supervisory experience.

NiceToHaves:

• SelfMotivation: Proven communication skills and assertiveness.
• Business Planning: Background in business planning and targeted outcomes.
• Managed Care Knowledge: Working knowledge of managed care inpatient outpatient and the home health continuum as well as utilization management and case management.
• Performance Improvement: Knowledge of performance improvement concepts.
• Physician Relationships: Demonstrated effective working relationships with physicians.

Minimum and Preferred Qualifications:

• Education: Bachelors of Nursing (BSN) or Masters Social Work (MSW). A Masters degree is preferred.
• Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid Texas license as a Masters Social Worker (LMSW). CCM preferred.

Ready to Take the Next Step

Join us at Hunt Hive Talent and leverage your expertise to lead a dynamic case management program. Apply now through our website at Hunt Hive Talent to embark on a rewarding career journey with us.