Director Case Management

The Director of Facility Case Management holds the primary role in overseeing and organizing the activities of the department. This individual ensures that the team adheres to internal and external guidelines and regulations, and spearheads efforts to integrate the department's activities with those of other hospital sections and external entities for seamless patient care and efficient use of clinical resources. The Director is responsible for all elements of the department's daily operations at the hospital, aiming for the achievement of set outcomes by working closely with multidisciplinary teams and outside stakeholders. This leadership role is filled by a registered nurse who oversees the operational facets of the department. Suitable candidates should exhibit a commanding yet approachable presence, along with superior communication and presentation abilities, the capacity to inspire teams, and a track record of meeting objectives and reaching targets. The role demands a deep understanding of case management, exceptional leadership, the ability to gain trust and foster teamwork, as well as proficiency in navigating changes to drive the department and its initiatives forward successfully. The right candidate will be independent, capable of juggling various tasks, able to lead projects and actions with little guidance, and skilled in handling conflicts with finesse and diplomacy. This individual needs to be flexible, able to quickly adjust to new circumstances, and coordinate with a broad range of stakeholders efficiently.

Responsibilities

• Directs and evaluates departmental operations, including the case management model, staffing (skill mix and FTEs), use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives.
• Allocates resources to effectively staff department and meet productivity and quality goals.
• Responsible for oversight of CM core functions and practice.
• Ensures the adherence to care coordination and discharge planning processes, ensuring timeliness, quality, and proper documentation.
• Works with the Facility CFO and Division CM Leader to achieve established goals and expectations.
• Assesses and improves the department's performance by evaluating operational processes, monitoring performance through analyzing data, and implementing sustainable performance improvement activities.
• Ensuring compliance with policies and SOP.
• Establish working relationships with key stakeholders to include CMO, CNO, ancillary service leaders, Ethics & Compliance, and Legal.
• Performs other duties as assigned.
  
  

Qualifications

• Bachelor's degree, required
• Master's degree in Nursing, Health Administration, or Business Administration, preferred
• Either Registered Nurse (RN) licensure or Licensed Clinical Social Worker (LCSW), required
• 5-7 years' experience in overall acute care Hospital Case Management
• 2+ years' experience in case management leadership