Talent.com
Case Management Director - RN or LCSW

Case Management Director - RN or LCSW

Northeast Georgia Health SystemGainesville, GA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

About the Role

Coordinates the development and implementation of case management and social work services with an emphasis on vertical integration throughout the Northeast Georgia Health System delivery system. Organizationally responsible for case management, discharge planning, access control, continuum coordination, pre-certification for post acute services, resource management, and inpatient acute social work.

Minimum Job Qualifications

  • Licensure or other certifications : Commensurate with professional requirements, successful completion of ACM or CCM exam within 2 years, and currently licensed as a RN or LCSW.
  • Educational Requirements : Bachelor's Degree required, Master Degree required if Social Work candidate.
  • Minimum Experience : Five (5) or more years experience in hospital clinical / financial operations and management. Experience in at least one major component of Case Management, i.e. Discharge Planning, Clinical Social Work; previous Case Manager. Experience working with third party payers and Physicians.

Preferred Job Qualifications

  • Preferred Licensure or other certifications :
  • Preferred Educational Requirements : Masters Degree preferred, i.e., Nursing, Business Health, Management, Leadership, Case Management, etc within 3 years if RN.
  • Preferred Experience : Experience in healthcare Federal and State regulations.

    • Job Specific and Unique Knowledge, Skills and Abilities

  • Knowledgeable in operational design, assertiveness / persuasiveness, effective written / verbal communication, and ability to effect change. Possesses positive relationship building, flexibility, problem solving, organizational skills, analytical skills, high level of emotional intelligence, and vision.
  • Must have knowledge of healthcare funding resources, patient services and clinical standards and outcomes

    • Essential Tasks and Responsibilities

  • Coordinates the operational design and collaborates to ensure an integrated case management and social work function.
  • Develops and coordinates the implementation of the case management function from a systems perspective promoting an interdisciplinary collaborative proactive environment.
  • Coordinates the development and implementation of case management education.
  • Identifies opportunities and makes recommendations to improve NGHS services and to enhance continuum options.
  • Works closely with senior management and the multi-disciplinary team to manage the delivery of patient services within given time frames, to decrease the length of stay for inpatient care, to ensure effective and prudent use of resources, and to improve care continuity and patient outcomes.
  • Participates in length of stay system initiatives and is an active member of all LOS steering committees. This position is ultimately accountable for ensuring case management duties are fulfilled during IDTs (Interdisciplinary Team Meetings) and must round regularly and participate in IDTs to improve system Length of Stay.
  • Works closely with Providers to better manage the process for admission, concurrent patient management, discharge and post discharge activities.
  • Evaluates program structure and processes on a continuous basis to adapt program design to meet the demands of a changing healthcare system and organizational objectives.
  • Provides for systematic patient management through effective use of NGHS continuum and maintains organizational responsibility for access control.
  • Works with Providers to coordinate, develop and implement clinical process improvements.
  • Works with Directors of Operations and Quality Improvement to analyze data for the purpose of identifying opportunities for clinical process improvements.
  • Participates with Providers and NGMC internal staff to develop, implement and monitor the effectiveness of clinical pathways.
  • Works with senior administration to resolve operational issues that are barriers to clinical process improvement endeavors.
  • Participates in MRUR (Medical Record / Utilization Review Committee), including performing and updating on medical / clinical case studies.
  • Explores opportunities and makes recommendations for organizational standards.
  • Responsible for components of and strives to enhance / maintain NGHS financial performance improvement.
  • Maintains accountability for timely pre-certification for Post Acute services and minimizes the organizational financial risk for penalty.
  • Provides case-by-case contract negotiations for the organization, where indicated.
  • Responsible for acute inpatient social work functions.
  • Effectively and efficiently manages Case Management Department.
  • Hires appropriate budgeted positions and assures proper training.
  • Conducts regular, informative meetings with staff and responds to their needs.
  • Performs performance appraisals in a timely and open manner.
  • Maintains professional work ethics within the department and assures maximum staff productivity.
  • Provides staff counseling and disciplinary action as necessary and / or required.
  • Assesses departmental workload and determines appropriate staff allocations.
  • Coordinates, monitors and manages outcome data to measure clinical and financial performance.
  • Works closely with Providers and staff to provide, interrupt and monitor clinical / financial data for the purpose of improving hospital / Physician performance and anticipating payer and managed care demands.
  • Maintains responsibility for tracking and reporting avoidable day.
  • Demonstrates sensitivity to customer service data and develops appropriate strategies for response as indicated.

    • Physical Demands

  • Weight Lifted : Up to 20 lbs, Occasionally 0-30% of time
  • Weight Carried : Up to 20 lbs, Occasionally 0-30% of time
  • Vision : Moderate, Frequently 31-65% of time
  • Kneeling / Stooping / Bending : Occasionally 0-30%
  • Standing / Walking : Frequently 31-65%
  • Pushing / Pulling : Occasionally 0-30%
  • Intensity of Work : Occasionally 0-30%
  • Job Requires : Reading, Writing, Reasoning, Talking, Keyboarding, Driving

    • Working at NGHS means being part of something special : a team invested in you as a person, an employee, and in helping you reach your goals. NGHS : Opportunities start here.

    Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

    serp_jobs.job_alerts.create_a_job

    Director Case Management • Gainesville, GA, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Director of Nursing Opportunity - Residential Facility

    Director of Nursing Opportunity - Residential Facility

    BayMark Health Services CareersDahlonega, Georgia, US
    serp_jobs.job_card.full_time
    It is our belief that when individuals are spiritually alive, mentally clear and alert, emotionally stable, and physically fit, they cannot help but maintain a socially balanced lifestyle.To achiev...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director of Nursing Opportunity - Residential Facility

    Director of Nursing Opportunity - Residential Facility

    BayMark Health ServicesDahlonega, GA, US
    serp_jobs.job_card.full_time
    It is our belief that when individuals are spiritually alive, mentally clear and alert, emotionally stable, and physically fit, they cannot help but maintain a socially balanced lifestyle.To achiev...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director of Nursing

    Director of Nursing

    Georgia Hospice CareLawrenceville, GA, US
    serp_jobs.job_card.full_time
    Become an RN Clinical Supervisor with Georgia Hospice Care.We are looking for impeccable leaders to join our team who are committed to creating meaningful patient experiences.As a clinical supervis...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Assistant Director of Nursing

    Assistant Director of Nursing

    PruittHealthAthens, GA, US
    serp_jobs.job_card.full_time
    Join the PruittHealth family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safety of all our nurses.N...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    RN Case Manager

    RN Case Manager

    Help at HomeATHENS, GA, US
    serp_jobs.job_card.full_time
    Help at Home is hiring a RN Case Manager!.We are the nation’s leading provider of high-quality support services to seniors and people with disabilities. Our clients need us more than ever to continu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Director, Clinical Systems

    Director, Clinical Systems

    Molina HealthcareLAWRENCEVILLE, US
    serp_jobs.job_card.full_time
    Leads and directs a team supporting clinical systems.Responsible for provision of product ownership of clinical applications including design, development, implementation, and oversight of technolo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Critical Care Director

    Critical Care Director

    Northside HospitalLawrenceville, GA, US
    serp_jobs.job_card.full_time
    Northside Hospital is award-winning, state-of-the-art, and continually growing.Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Clinical Director (Physical Therapist)

    Clinical Director (Physical Therapist)

    FYZICAL Therapy and Balance CentersCumming, GA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    If you are a Physical Therapist or a Clinical Director with aspirations of growing your career and having control of your destiny, let’s talk! We need an innovative leader like you in our Clinical...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director

    Director

    Primrose SchoolsSuwanee, GA, US
    serp_jobs.job_card.full_time
    School Director at Primrose School of Suwanee.Calling all passionate individuals : become an early childhood center director! Are you eager to make a difference in the lives of young children and th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    RN - MedSurg, Trauma, Sign-on Bonus up to $10K

    RN - MedSurg, Trauma, Sign-on Bonus up to $10K

    Piedmont Athens Regional HospitalAthens, GA, US
    serp_jobs.job_card.part_time
    Our dynamic patient population includes surgical, trauma and a variety of medical patients.Our surgeries typically involve the neck to the gut. This population includes GI surgeries such as colon re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Licensed Social Worker – Surrogacy Case Manager (LMSW / LCSW)

    Licensed Social Worker – Surrogacy Case Manager (LMSW / LCSW)

    Family InceptionsSuwanee, GA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Full-Time, Salaried About the Role Family Inceptions has supported intended parents and surrogates for more than 17 years. We’re seeking a Licensed Social Worker to serve as a Surrogacy Case M...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Licensed Clinical Social Worker (LCSW) (Cumming)

    Licensed Clinical Social Worker (LCSW) (Cumming)

    Georgia Highlands Medical ServicesCumming, GA, US
    serp_jobs.job_card.part_time
    Licensed Clinical Social Worker (LCSW) OR as Licensed Professional Counselor (LPC).Georgia Highlands Medical Services, Cumming, GA. We are seeking a dedicated and compassionate Mental Health Profess...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Trauma Surgeon / Medical Director | $625K | Georgia

    Trauma Surgeon / Medical Director | $625K | Georgia

    The Medicus FirmAthens, GA, United States
    serp_jobs.job_card.full_time
    Trauma Surgeon / Trauma Medical Director.Surgeon is back up, at night, one of the daytime surgeons alternates.Work in teams of 2 during the day and also have 2 APP that work alongside you.Base Salary...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Manager (RN)

    Clinical Manager (RN)

    Georgia Hospice CareLawrenceville, GA, US
    serp_jobs.job_card.full_time
    Become an RN Clinical Supervisor with Georgia Hospice Care.We are looking for impeccable leaders to join our team who are committed to creating meaningful patient experiences.As a clinical supervis...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Clinical Supervisor RN, Emergency Services (ED)

    Clinical Supervisor RN, Emergency Services (ED)

    Northside HospitalCumming, GA, US
    serp_jobs.job_card.full_time
    Northside Hospital is award-winning, state-of-the-art, and continually growing.Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Licensed Clinical Social Worker (LCSW) - $1,619 to $1,795 per week in Cumming, GA

    Travel Licensed Clinical Social Worker (LCSW) - $1,619 to $1,795 per week in Cumming, GA

    AlliedTravelCareersCumming, GA, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified Licensed Clinical Social Worker in Cumming, Georgia, 30041!. Ready to start your next travel adventure? LRS Healthcare offers a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director of Clinical Operations

    Director of Clinical Operations

    Pivotal Placement Services, IncDuluth, GA, United States
    serp_jobs.job_card.full_time
    Director of Clinical Operations – Duluth, GA.We are seeking a full-time Director of Clinical Operations with one of the largest hospice and home health companies in the country.This key team leader...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    staff - Registered Nurse (RN) - Case Manager, Home Health - $85K-95K per year

    staff - Registered Nurse (RN) - Case Manager, Home Health - $85K-95K per year

    AccentCareBuford, GA, United States
    serp_jobs.job_card.full_time
    AccentCare is seeking a Registered Nurse (RN) Case Manager, Home Health for a nursing job in Buford, Georgia.Job Description & Requirements. Find Your Passion and Purpose as an RN Case Manager.Cover...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Oncology - $1,896 per week in Cumming, GA

    Travel Nurse RN - Oncology - $1,896 per week in Cumming, GA

    TravelNurseSourceCumming, GA, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with GetMed Staffing to find a qualified Oncology RN in Cumming, Georgia, 30041!.GetMed Staffing is searching for a strong Oncology RN to assist our traveler-friendly c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Assistant Clinical Director (ACD)

    Assistant Clinical Director (ACD)

    HopebridgeSnellville, GA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    The Assistant Clinical Director (ACD) provides clinical oversight of ABA services within a center, supports a caseload, and provides ongoing structured mentorship to BCBAs in the center.The ACD is ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30