Case Management Director

Case Management Director - Ottumwa, IA 52501

SUPERVISES - Case Managers and Social Workers

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

The Director of Case Management's primary responsibilities include : The manager of case management is 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 the following : care facilitation, utilization management, case management and discharge planning.

DUTIES INCLUDE BUT ARE NOT LIMITED TO

• 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.

KNOWLEDGE, SKILLS & ABILITIES

EDUCATION

EXPERIENCE

CERTIFICATE / LICENSE