Full-Time Onsite Position

Benefits: Full; Relocation Assistance Available (Possible for Ideal Candidate)

Hospital Case Management Director

Our Award Winning Client is seeking a dynamic and experienced individual to join their team as a Director of Case Management. As a nationally recognized leader in healthcare, Our Award Winning Client operates numerous facilities across the country and has been honored with multiple prestigious awards.

Responsibilities:

• Oversee department operations to ensure optimal staffing levels and adherence to budgetary guidelines.
• Implement and monitor utilization management processes to ensure medical necessity review and appropriate clinical data communication to payers.
• Lead transition management initiatives to ensure timely patient assessments and documentation of transition plans.
• Coordinate care coordination efforts with nursing and hospital leadership to promote timely and appropriate patient throughput.
• Provide education to physicians, staff, and stakeholders on medical necessity, documentation, and compliance.
• Ensure compliance with federal, state, and local regulations and accreditation requirements.

Minimum Qualifications:

• Graduate from an accredited school of Nursing. Bachelor’s degree in Nursing or other health-related field, or equivalent combination of education and/or related experience. Master’s degree in Nursing, Business Administration, or Hospital Administration preferred.
• Licensed to practice as a Registered Nurse in the State of Michigan.
• Three to five years of acute hospital case management leadership experience. Five years acute hospital case management experience preferred. McKesson InterQual® experience preferred. Business planning experience preferred.
• Accredited Case Manager (ACM) preferred.

Skills Required:

• Analytical ability to develop strategies, policies, processes, and protocols.
• Fiscal skills to monitor and control costs and revenue.
• Ability to manage multiple priorities and stressful situations.
• Strong communication and interpersonal skills.
• Teaching abilities to conduct educational programs.
• Project management skills.
• Leadership skills to inspire and build confidence in others.
• Technical knowledge of community resources, regulatory requirements, reimbursements, and utilization management procedures.

Experience: 2 to 5 years

Seniority Level: Director

Management Experience Required: No

Minimum Education: Bachelor's Degree

Willingness to Travel: Occasionally

US Citizenship or Green Card Holders only apply

Note: Resumes will be maintained in strict confidentiality until such time as we engage in a detailed discussion regarding a specific opportunity, and both parties mutually agree to proceed. We consistently receive new opportunities every day. Should your professional background closely align with the specific requirements of our client, we will promptly reach out to you to initiate further exploration of potential opportunities.

Job Type: Full-time

Pay: $101,000.00 - $130,000.00 per year

Benefits:

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

Schedule:

• Monday to Friday

Application Question(s):

• Accredited Case Manager (ACM) preferred
• What location of the USA or states are you interested in?
• 3208333 U.S. citizen or green card holder?
• Have you worked as Director Case Management recently?
• What type of compensation is desired for a new position?

Education:

• Bachelor's (Required)

Experience:

• acute hospital case management: 3 years (Required)
• Business planning: 3 years (Required)
• acute hospital case management leadership: 5 years (Required)

License/Certification:

• Registered Nurse in the State of Michigan (Required)

Ability to Commute:

• Detroit, MI (Required)

Ability to Relocate:

• Detroit, MI: Relocate before starting work (Required)

Work Location: In person