Director Case Management - Wildomar, California United States - 18055



JOB DESCRIPTION

Job #: 18055
Title: Director Case Management
Job Location: Wildomar, California - United States
Employment Type:
Salary: $110,000.00 - $140,000.00 - US Dollars - Yearly
Employer Will Recruit From: Regional
neighboring states
Relocation Paid?: Negotiable

WHY IS THIS A GREAT OPPORTUNITY?


Our client is  one of the nation’s largest hospital management companies, has more than 350 acute care hospitals, behavioral health facilities and ambulatory centers across the U.S., Puerto Rico and the U.K.

We are seeking a  Director, Case Management who will  supervise, facilitate and coordinate the Care Management system. This includes all the activities of the Care Managers and Social Workers.
The position evaluates the patient care outcomes as well as the financial outcomes this system impacts. The individual will collaborate with all hospital departments; medical staff, Home Health Care/Hospice agencies; durable medical equipment companies; nursing homes; and others to assure patient care coordination is efficient, of high quality and cost effective.
The Director intervenes when patient care is at risk. This position assists in teaching others how to analyze patient care data and how to present it to reach the goals of the organization.

JOB DESCRIPTION

The Director follows Service Excellence standards and assures that these standards are followed by the department’s associates. 

  • Demonstrates well developed problem solving, communication and interpersonal skills.
  • Effective written and verbal communication skills.
  • Ability to define problems, collect data, establish facts and draw conclusions.
  • Demonstrates knowledge of principles of utilization management and case management.
  • Computer skills in word processing.
  • Knowledge and skill in professional nursing theory and practice, including physiological principles involved in the care of patients, principles of teaching and learning, research quality assurance.
  • Knowledge of regulatory compliance standards (CMS, Title 22, TJC)

QUALIFICATIONS

  • Five (5) years managerial experience in Utilization Review and/or Case Management
  • Strong acute care clinical background.
  • 3 years experience in a leadership role required. 

MINIMUM ESSENTIAL EDUCATION

  • Completion of an accredited Registered Nurse Program
  • Bachelor degree in nursing, health care management or other related field
  • Master’s Degree in healthcare related field preferred
 
  • Current California Registered Nurse License
  • CPUR, CPUM, CCM or other national certification in Utilization Review or Case Management

 

Education:
University - Bachelor's Degree/3-4 Year Degree

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