DIRECTOR - CASE MANAGEMENT (RN OR LCSW)

• Westminster, MD
• CARROLL HOSPITAL
• CARE MANAGEMENT
• Full-time - Day shift - 8:00am-4:30pm
• Management & Supervisory
• 87898
• $52.11-$87.39 Experience based
• Posted:Today

JOB SUMMARY:

The Director of Case Management oversees the inpatient Care Management team at Carroll Hospital. Plans, directs, and evaluates the activities of the Case Management team. Develops length of stay (LOS) and resource reduction strategies, focusing on facility best practice. Provides specific LOS analysis and makes recommendations for process improvement. Ensures compliance with regulatory agencies and ensures third party payers reimbursement/coverage is approved to meet patients' level of care.

Directs, plans, implements and evaluates case management of patient care across the continuum of care. Collaborates with other directors in the LBH system to establish and standardize goals and objectives for the department. Develops and implements policies and procedures supporting quality patient-driven care through efficient and effective case management.

ESSENTIAL FUNCTIONS:

• Analyzes and evaluates effectiveness of patient care standards, policies and procedures to improve quality of patient care and plans utilization of staff resources and activities aimed at continued quality care.
• Guides, mentors, motivates and engages the staff in assessing, planning, implementing programs and evaluating patient care as evidenced by patient satisfaction and positive clinical outcomes.
• Screens and investigates incidents and patient complaints; determines follow-up needed and initiates corrective action.
• Ensures compliance with all regulatory agency requirements.
• Ensures availability of necessary tools and resources for the efficient management and coordination of patient care.
• Collaborates with physician leadership to develop strategies, formulate plans and implement interventions based on patient needs and clinical resources.
• Collaborates with the Medical Nursing Leadership to evaluate outcomes, assess problem areas, analyze current trends and plan strategies to meet patient care needs and improve the delivery of care.
• Collaborates with Patient Access Services Leadership to ensure accurate data and coordination of patient flow.
• Uses resources in an appropriate and cost-efficient manner.
• Develops the department budget.
• Identifies, generates and implements cost containment initiatives.
• Selects, develops, manages and evaluates direct reports; and oversees the selection, development, management and evaluation of indirect reports.
• Promotes staff development and education. Provides opportunity for formal and informal education to promote ongoing staff competency. Sets standards for performance and ensures timely completion of performance appraisals.

REQUIREMENTS:

• Bachelor's Degree required; Master's degree preferred.
• Minimum of 4-7 years ofrelevant experience in case management is required, hospital utilization management and/or discharge planning experience preferred.
• CCM - Certified Case Manager
• Registered Nurse (RN) orLCSW Certified Social Worker required.