Director of Clinical Case Management

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Job Description - Director of Clinical Case Management

HCA Healthcare

Director of Clinical Case Management

Nashville ,

Tennessee

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Do you want to join an organization that invests in you as a Director of Clinical Case Management? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Director of Clinical Case Management like you to be a part of our team.
Job Summary and Qualifications
The Director of Clinical Case Management supports the assessment, planning, coordination, development, and direction of the Discharge Planning/Transitional Care, Post-Acute Services support, Social Work programs, and Case Management related Regulatory Standards and other Clinical Case Management initiatives as assigned, including the areas of automation and information systems. The Director of Clinical Case Management will work as a member of a cross functional team with various groups inside and outside the Case Management Department to develop and implement a comprehensive program to achieve desired strategic objectives. The Director will identify improvement opportunities and facilitate process standardization to promote improved outcomes, maximize resource utilization, and improve organizational efficiencies.
Major Responsibilities:
Provides ongoing evaluation and assessment of facility practices and industry changes to ensure enterprise remains current in Case Management processes including those related to Discharge Planning/Transitional Care, Patient Choice and the Referral Process, Avoidable Days, ED Case Management, alignment with HCA Affiliated/Owned Post-Acute Services, Social Work programs and other Clinical Case Management supported programs including automation and information systems designed to promote corporate and division standardization, utilization, integration, and optimization.
Provide subject matter expertise related to informatics projects and optimization
In conjunction with Case Management Education team, develop and implement evidence-based toolkits in support of Clinical Case Management initiatives
Establish, implement and evaluate the strategic plan for clinical aspects of case management that takes into account internal and external factors
In conjunction with Case Management Analytics, create data priorities and report formats that display critical outcome, process and operational factors.
Ensures all clinical case management and discharge planning policies and procedures are consistent with governmental and regulatory agencies
Using the department approved process for data reporting, provide feedback to Case Management Leadership and other clinical areas, as indicated
Provide input for resources needed to appropriately and effectively deliver Clinical Case Management strategies
Develop, establish and maintain effective relationships with related departments as indicated to promote and ensure success of Clinical Case Management goals
Designs, develops, implements, evaluates, and revises the Clinical Case Management programs to ensure optimum patient outcomes with appropriate utilization of services
Develops creative suggestions to program development obstacles
Collaborates with other members of the Corporate Case Management team to develop Clinical Case Management policies and procedures to support systems, standards of practice, regulatory standards, and evidence-based best practices
Responsible for integration of clinical documentation and electronic health record technology into the program workflow; ensures technology supports the Clinical Case Management
Performs other duties as assigned
Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement.”
Education & Experience:
Bachelor's degree required
Master's degree preferred
5+ years of experience in a case management role
3+ years of experience in Case Management leadership role or equivalent combination of experience and/or education
Registered Nurse - Currently licensed as a registered professional nurse in the state in which he or she practices, in accordance with law and regulation
Occasional Travel: The job may require travel from time- to-time, but not on a regular basis.
HCA Healthcare (Corporate)

, based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled

resources and opportunities

to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and

career advancement opportunities

, every person has a solid foundation for success. Nashville is also home to our

Executive Development Program

, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director of Clinical Case Management opening. Qualified candidates will be contacted for interviews.

Submit your resume today to join our community of caring!
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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