Job Details:

The Director, Nursing is responsible for organizing, directing and evaluating the activities of the Case Management Department.

Responsibilities:

• Establishes and coordinates utilization and discharge planning functions.
• Coordinates and facilitates multiple resources, internal and external, into a unique and single approach to care coordination for each patient assigned case management services.
• Identifies and implements processes that support and promote efficient patient throughput across the healthcare continuum resulting in optimal clinical outcomes, appropriate utilization of resources, and appropriate and accurate reimbursement.
• Oversees the operations of the referral management, telephonic utilization review, prior authorization, and case management functions.
• Complies with the county, state and federal regulations as it pertains to the Case Management Department.
• Effectively provides ongoing information to Medical Director regarding status of pathways, problems/problem-solving and variation analysis.
• Maintains current knowledge in the field through the review of literature and shares that information as appropriate with staff.
• Quality Metrics and Data Review Analysis.

Qualifications/Requirements:

Minimum five years of hospital case management experience preferably in a leadership role; must have clinical (medical) background and understanding of treatment modalities; must be knowledgeable in allied health sciences, appropriate levels of care and the health care delivery system. Medical terminology required, understanding of Medicare criteria and communication skills with ability to discuss patients' clinical courses with physicians at the physician level. Member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in Hospital. The member must be able to demonstrate the knowledge and skills necessary to mentor members of the case management department. Current Licensure in the State of New York as a Registered Nurse.

Education:

BSN required; Masters Track preferred

Other:

If applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

About Us:

Good Samaritan Hospital

Good Samaritan Hospital in Suffern, NY, is a 286-bed hospital providing emergency, medical, surgical, obstetrical/gynecological and acute-care services to residents of Rockland and southern Orange counties in New York; and northern Bergen County, NJ. The hospital is home to a recognized cardiovascular program, comprehensive cancer-treatment services, the area’s leading Wound and Hyperbaric Institute and outstanding maternal/child services that includes a Children’s Diagnostic Center. Good Samaritan Hospital also provides social, psychiatric and substance-abuse services and its certified home-care agency supports residents of the Hudson Valley and beyond.

Benefits:

• Health Insurance
• Dental
• Vision
• Retirement Savings Plan
• Flexible Saving Account
• Paid Time Off
• Holidays
• Tuition Reimbursement