Case Management Director
Salary: $93,272 – $125,900
Location: Ottumwa, IA (On-site)
Employment Type: Full-Time
Work Type: In-Person
Relocation: Partial (Negotiable)
Visa Sponsorship: Not supported

Benefits:
Dental Insurance
Medical Insurance
Vision Insurance
Life Insurance
Retirement
Equity
Work From Home
Paid Time Off
Other

Job Description:
Our client is seeking a Director of Case Management responsible and accountable for the implementation of the case management program at the hospital level.

The components/roles of the inpatient case management program consist of care facilitation, utilization management, case management and discharge planning.

• Supervises Case Managers and Social Workers.
• Provide leadership, education and supervision for the day to day workflow of Case Managers and Social Workers.
• Monitor Case Management Department’s documentation to ensure meets regulatory compliance.
• Collaborate with Chief Financial Officer and Quality Department to develop and maintain quality improvement programs and trending of data (e.g. Avoidable Days, Readmissions).
• Maintain skills in case management and utilization review to allow for coverage of patient caseload to cover staffing needs of all areas of hospital.
• Communicate with physicians concerning patient needs and aid with development of appropriate plan of treatment and assist with level of care and bed placement assignments.
• Directly responsible for personnel actions including hiring, performance appraisals, employee schedules, and maintain payroll records and time reports in KRONOS.
• Facilitate daily Multidisciplinary Rounds to provide collaboration with other disciplines to provide holistic patient care.
• Participate in discharge planning. Provides necessary education and resources to meet the discharge needs of individual patients and families.
• Active participant of Utilization Review Committee and Revenue Recycle Committee.
• Promote efficient utilization of clinical resources.
• Promotes the appropriate amount of resources are used based on patient acuity.
• Assures appropriate level of understanding, awareness and compliance with all applicable Joint Commission, CMS, state and local agency laws, internal/external regulations, guidelines, policies, procedures and professional standards.

Other duties as assigned.

Qualifications:
Graduate of a program of Registered Nursing
Bachelor of Science in Nursing degree preferred

Experience:
Minimum of two years of Case Management experience in utilization management, case management, discharge planning or other cost/quality management program
Two to three years previous management experience is preferred with minimum of two years’ experience in hospital-based nursing

Must-Haves:
Graduate of a program of Registered Nursing
Minimum of two years of Case Management experience in utilization management, case management, discharge planning or other cost/quality management program
Current RN license in the state of Iowa or a multistate license allowing to work in the state of Iowa

Nice-To-Haves:
Bachelor of Science in Nursing degree preferred
Two to three years previous management experience preferred

Skills and Abilities:
Working knowledge of payer requirements and discharge planning regulations
Working knowledge of Medicare, managed care, inpatient, outpatient and home health continuum
Ability to work collaboratively with healthcare professionals at all levels
Working knowledge of performance improvement concepts
Strong communication skills and ability to work independently and as part of a team
Demonstrated effective working relationships with physicians

 

EEOC
Our client is an Equal Opportunity Employer and complies with all applicable laws prohibiting discrimination and harassment in employment. 

If this opportunity aligns with your experience and interests, please continue to the next page to complete your application.