Director of Case Management

    Published
    November 29, 2023
    Location
    Houston, Texas
    Category
    Job Type
    State
    Texas
    Region
    Southwest

    Description

    Director, Care Management –

    REPORTS TO

    Vice President Finance, Chief Financial Officer

    Salary: $141,128.00 to $176,404.00

    FULL RELOCATION PACKAGE

    Qualifications must-Haves

    LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM) or

    Fellowship of the American Academy of Case Management (FAACM) required .

    Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid Texas license as a Master’s Social Worker (LMSW) required,

    Minimum five (5) years’ experience in utilization management, case management, discharge planning or other cost/quality management program

    Three (3) years of experience in hospital-based nursing or social work preferred

     

    Nice-To-Haves

    Seeking someone that has worked with a large size organization - 850-900 beds

     

     

    Job Description

    The Director of Care Management is responsible and accountable to work with the Directors of Case Management on the implementation of the case management program at the local level.  The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.

     

    The Director is responsible for overseeing/suggesting the development of systems and processes for care/utilization management at the local level.  In addition, the Director is responsible for monitoring the progress of hospital department activities related to discharge planning and clinical quality improvement.  The Director works with the local level Directors on matters that impact resource utilization and promotes the effective and appropriate use of hospital resources.  The Director supports the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.  The Director promotes interdisciplinary collaboration, fosters teamwork, and champions service excellence.

     

     

    Minimum five (5) years’ experience in utilization management, case management, discharge planning or other cost/quality management program

    Three (3) years of experience in hospital-based nursing or social work preferred

    Knowledge of leading practice in clinical care and payor requirements

    Self-motivated, proven communication skills, assertive

    Background in business planning, and targeted outcomes

    Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management

    Working knowledge of the concepts associated with Performance Improvement

    Demonstrated effective working relationship with physicians

    Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes

    Effective oral and written communication skills

    Principal Accountabilities

     

    Benefits

     

    DENTAL INSURANCE

     

    MEDICAL INSURANCE

     

    VISION INSURANCE

     

    LIFE INSURANCE

     

    RETIREMENT

     

    EQUITY

     

    PAID TIME OFF

     

    OTHER

    LP

    Related Jobs

    Director of Case Management   Southwest, Oklahoma
    February 1, 2024
    Director of Case Management   Houston, Texas
    January 3, 2024
    Director of Case Management   Northeast, North Carolina
    November 29, 2023
    Director of Case Management   Laredo, Texas
    May 17, 2021
    Categories: