Director of Case Management

Under general supervision, the Director of Case Management will direct the case management program, including the functions of case management,  utilization management, and discharge planning for the Hospital.  The Director of Case Management is responsible for coordinating those systems necessary for safe and appropriate discharge as well as utilization management practices that meet all corporate, facility and regulatory guidelines. The director assesses and evaluates the care/services rendered, staffing levels, competency and educational needs of the case management staff and effectively coordinates and controls resources. The Director provides consultation and education to facility leadership, clinical and financial personnel, the Board of Trustees, and medical staff members related to case management including utilization management and discharge planning practices.  The Director oversees the annual review of the Case Management/Utilization Management Plan of the hospital. The Director will identify and implement processes that support and promote efficient patient throughput across the HealthCare continuum resulting in optimal clinical outcomes, appropriate utilization of resources and appropriate & accurate reimbursement.

Current California Registered Nurse; certification in Case Management and/or Utilization Management or equivalent preferredBLS 

Minimum: 5 years health care experience, 2 years Director or Supervisory/Management experience required; Health care regulatory and accreditation requirementsPreferred: 5 years experience in Case Management preferred EDUCATION REQUIREMENTS:Minimum: Bachelors Degree in Nursing and/or other Bachelors Degree in Health Care field; (BSN, BS in Healthcare)Preferred: National Certification in Case Management or equivalent preferred (CCM or ACM) KNOWLEDGE/SKILLS:Minimum: Excellent communication and facilitation skills; Ability to work with individuals at all levels of the organization, Analytical skills; PC Based Software SkillsPreferred: Experience in facilitating or leading project teams, professional boards or committees