Administrative Director of Case Management

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*Relocation Package.*

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The Director of Care Management is responsible and accountable to work with the Directors of Case Management on the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.

The Director is responsible for overseeing/suggesting the development of systems and processes for care/utilization management at the local level. In addition, the Director is responsible for monitoring the progress of hospital department activities related to discharge planning and clinical quality improvement. The Director works with the local level Directors on matters that impact resource utilization and promotes the effective and appropriate use of hospital resources. The Director supports the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement. The Director promotes interdisciplinary collaboration, fosters teamwork and champions service excellence.

Minimum Qualifications:

Education: Bachelors of Nursing (BSN) or Masters Social Work (MSW). Masters degree preferred

Licenses/Certifications:

Current and valid license to practice as a Registered Nurse or

as a Master's Social Worker (LMSW) required.

Specialty certification REQUIRED: CCM, ACM, or Fellow of the American Academy of Case Management

Experience/ Knowledge/ Skills:

Minimum five (5) years' experience in utilization management, case management, discharge planning or other cost/quality management program

Knowledge of leading practice in clinical care and payor requirements

Self-motivated, proven communication skills, assertive

Background in business planning, and targeted outcomes

Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management

Job Type: Full-time

Pay: $141,000.00 - $176,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Relocation assistance
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Ability to Relocate:

• Houston, TX: Relocate before starting work (Required)

Work Location: In person