A Westchester County-based health services system has a great Administrative Director, Care Management opportunity awaiting a licensed Registered Nurse (RN). In this role, the Administrative Director, Care Management will be responsible for serving as the central resource Executive Team concerning strategies which are efficient, effective, timely, patient-centered, and support appropriate financial reimbursement.
Responsibilities:
The Administrative Director, Care Management will:

• Assume 24-hour accountability for the planning and direct of departments that provide the following: Access, Utilization Review, Denials & Appeals, Care Coordination, Discharge Planning, Clinical Social Work, Recovery & Disease Management & Contracting
• Plan, organize, direct, and supervise designated Nursing Department within the division
• Oversee the overall operations of the division, including development of division goals & objectives that are consistent with the mission
• Assist the Case Managers and Social Work Manager in budget development & control, standard setting, policy development, goal settings, and evaluation of patient care
• Provide strategy, formulation, coordination of resources, and established implementation and evaluation of financial business goals for assignment product lines
• Participate in the Performance Improvement program
• Guide the Case Managers and Social Work Manager as they develop organizational plans for the their individual units and services
• Perform all other related duties, as needed

Qualifications:

• 1 year of experience in an Acute Hospital setting; 1 year experience in non-Hospital based Healthcare (home care, insurance, outpatient, etc.)
• Bachelor's Degree in Nursing NYS Registered Nurse (RN) license
• Experience in a Leadership and/or Supervisory role
• Previous experience with DRGs and Medicare Regulations
• Computer savvy
• Great interpersonal skills
• Excellent communication skills (written and verbal)
• Strong attention to detail
• Highly organized

Desired Skills:

• Master's Degree in Nursing
• Certification as a Case Management Administrator (CMAC)