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Case Management Director

Company: Maria Parham Health
Location: Henderson
Posted on: May 13, 2024

Job Description:

Maria Parham HealthWho We Are:People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. With 205 licensed beds, Maria Parham Health is equipped for every health care need one can encounter. We are fully licensed by Joint Commission, the College of American Pathologists, and Rated Highest in Patient Safety from Leapfrog.Where We Are:Henderson offers a great outdoors, including the region's largest lake, providing endless hours of fun boating, fishing, skiing and camping. Throw in great golfing, hunting and two fantastic recreational organizations and you may find yourself having a hard time deciding what to do next!Why Choose Us: - Health (Medical, Dental, Vision) and 401K Benefits for full-time employees - Competitive Paid Time Off, PTO cash out, and PTO donation programs - Employee Assistance Program - mental, physical, and financial wellness assistance - Loan Repayment and Tuition Reimbursement/Assistance for qualified applicants - Robust employee recognition and awards programs - And much more---Position Summary:The Case Management Director is the first line manager designated as the leader for Case Management team. the Case Management Director has accountability and responsibility for departmental functions of case management, concurrent coding, utilization review, financial outcomes management, social work, patient education. Plans, coordinates, directs the fiscal, personnel and patient care needs and the age of the patient in as cost effective manner as possible. Collaborates with Quality Management and Nursing Directors in promoting positive clinical outcomes. Responsible for integration of the department into the overall functioning of the organization. Performs other related duties as assigned. -
Reports to: Chief Financial OfficerResponsibilities of the Position:

  • Develops and implements departmental goals, plans, and standards consistent with the clinical,
    administrative, legal, and ethical requirements/objectives of the organization.
    • Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
      • Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
        • Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits.
          • Creates and fosters an environment that encourages professional growth.
            • Integrates evidence-based practices into operations and clinical protocols.
              • Provides clinical leadership for the Patient Care Coordinators and Social Worker for day to day issues regarding quality, resource management, utilization review, and discharge planning.
                • Reviews the delivery of services and care provided in the acute care setting for medical necessity, appropriateness, and conformance to professional standards developed by the Hospital , managed care, and regulatory organizations.
                  • Collaborates with Nursing Director regarding interdisciplinary patient care rounds.
                    • Participates in hospital and departmental safety programs.
                    • Other responsibilities as assigned by leadership.Minimum Education
                      Bachelors degree preferred
                      Masters degree preferred or an equivalent work experience and education.Required Certification
                      BLS (Basic Life Support) from AHA (American Heart Association)Minimum Work Experience
                      3 years experience in nursing or social work preferred or equivalent work experience and education.
                      Previous supervisory experience preferredRequired Skills
                      Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.EEOC Statement:Maria Parham Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Keywords: Maria Parham Health, Durham , Case Management Director, Executive , Henderson, North Carolina

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