Director of case management

Position: Director of Case Management \- RN

Location: Henderson, NC

Salary: $62,850 - $84,800

Work Schedule: Full Time, 8 - 12 hours a day, 36 - 40 hours a week

Job Description

About Our Health System

Join our dedicated team committed to delivering exceptional patient care and outcomes. As a Director of Case Management, you will play a critical role in ensuring our healthcare services are aligned with clinical, administrative, legal, and ethical standards.

Responsibilities

• Departmental Goals and Standards: Develop and implement departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements of the organization.
• Operations Management: Direct and evaluate departmental operations, including patient care delivery, information technologies, service level determination, and complaint management to achieve performance and quality control objectives.
• Staffing Management: Plan and monitor staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
• Budget Management: Prepare, monitor, and evaluate departmental budgets, ensuring compliance with allocated funding. Coordinate and direct internal/external audits.
• Professional Growth: Create and foster an environment that encourages professional growth and integrates evidence-based practices into operations and clinical protocols.
• Clinical Leadership: Provide clinical leadership for Patient Care Coordinators and Social Workers on issues regarding quality, resource management, utilization review, and discharge planning.
• Service Delivery Review: Review the delivery of services and care provided in the acute care setting for medical necessity, appropriateness, and conformance to professional standards.
• Interdisciplinary Collaboration: Collaborate with the Nursing Director regarding interdisciplinary patient care rounds.
• Safety Programs: Participate in hospital and departmental safety programs.
• Performance Improvement: Participate in Performance Improvement, collect data, and identify opportunities for improvement.
• Payment Denials: Communicate responses to potential or actual payment denials and collaborate with individual physicians to resolve utilization review concerns.

Qualifications

• Education:
• Bachelor's degree in Nursing required.
• Master's degree preferred or an equivalent combination of work experience and education.
• North Carolina RN license required.
• Required Skills:
• Basic Life Support (BLS) certification from the American Heart Association (AHA).
• Critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
• Ability to work in a stressful environment and take appropriate action.
• Work Experience:
• Minimum of 3 years of nursing experience preferred or an equivalent combination of work experience and education.
• Previous supervisory experience preferred.

Benefits

• Comprehensive health, dental, and vision insurance plans.
• Health Savings Account (HSA) and Flexible Spending Accounts (FSAs).
• Short-Term and Long-Term Disability insurance.
• Life Insurance and Accidental Death & Dismemberment (AD&D) insurance.
• 401K plan with employer matching.
• Paid Time Off (PTO).
• Tuition Reimbursement.
• Employee Assistance Program (EAP).
• Wellness Program.