Director- Case Management
USA, Columbus GA
$85,000 - $135,000
Job Description
We recognize that our patients deserve qualified, engaged, and competent healthcare professionals. And we know that our healthcare professionals deserve a working environment that is safe, leaders who are visible and supportive, and opportunities to grow and develop in their chosen disciplines. The heart of St. Francis is in its people, making our hospital a family that only the best is invited to join. If you feel that your skills and compassion fit with our vision for healthcare, we invite you to apply today.
Manages Case Management Department (includes Bed Board/Clinical Intake, Disease Management, Social Services, Discharge Planning, Precertification and Denial management; plans, organizes, and directs all related functions and activities (internal and external); establishes goals, objectives, standards of performance; develops operating policies and procedures; interprets hospital policies, standards and regulations to appropriate staff, patients, medical staff and public.
Evaluates the effectiveness of Case Management services related to reimbursement for inpatient and outpatient services. Coordinates, negotiates, procures services and resources for the management the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Develops clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare through identification of appropriate utilization of resources across the continuum of care.
Requirements:
Bachelor’s degree X Required
Graduate of a Bachelor's Program in Nursing X Required
Professional Registered Nursing licensure in state of GA.
Five (5) years clinical experience preferred.
X Master's degree X Preferred
Working in a acute care short term hospital managing / directing Discharge team
Experience in a 300+ bed hospital
several accomplishments that exceeds stretch goals