Job Description
Nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives.
Hospital service provides patients and families with world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services.
Job Summary
The Group Director, Case Management will perform the functions necessary to support and advance the hospital's Case Management strategy. Will support the advancement of Case Management as a leader, mentor, and consultant.

• Will execute on the strategic plan and will provide subject matter expertise for Case Management regulations and standards, including ensuring compliance with all state and federal regulations.
• Will ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient throughput.
• Includes integration of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
• Further, includes care coordination by demonstrating throughput efficiency while assuring care is the right sequence and of the appropriate level.
• Will serve as an information resource, and will work in collaboration with physicians, allied health professional administrators, corporate, finance department staff, supply chain staff, vendors, and individual internal and external.

Requirements
1. Bachelor's degree in business, nursing or health care administration required. Advanced degree in business, nursing and/or healthcare administration, health science or related discipline preferred.
2.A minimum of 5 years of experience in hospital revenue cycle function. Five (5) years in hospital Case Management Leadership required. Multi-site hospital case management leadership experience preferred. Business planning and project management experience preferred.
3.Registered Nurse or LCSW/LMSW license; or relevant experience as approved by VP of Case Management required. Accredited Case Manager (ACM) preferred.
Security Clearance Required: No
Visa Candidate Considered: No
CANDIDATE DETAILS
5 years experience
Seniority Level - Director
Management Experience Required - Yes
Minimum Education - Bachelor's Degree
Willingness to Travel - Occasionally
Benefits
Full-time
Benefits - Full
Health and well-being are important to us, so we provide a range of benefits and options to help meet the needs of all eligible employees. In addition to a range of healthcare plans, including higher and lower deductible options, we offer dental, vision and an employee assistance plan. Basic life insurance and Accidental Death and Dismemberment insurance are provided for free to eligible plan members. Employees can also choose to participate in one of several supplemental life insurance and/or disability plans, a legal services plan and an identity protection plan. For those employees who are looking for support to care for family members, we also offer child and elder care programs.
To help employees prepare for retirement, we offer a 401K savings plan, and an employee discount plan that includes discounts for a wide variety of products, including auto and home insurance and mobile plans.