36 Director of Case Management Jobs in Detroit, MI
Virtus Healthcare Staffing is Hiring a Director of Case Management Near Detroit, MI
Location: Detroit, MI
SummaryTrusted Staffe is partnering with a Level I trauma hospital in Detroit, MI, to identify a highly skilled and experienced Director of Case Management. This leadership position plays a critical role in overseeing the hospital's case management department, ensuring optimal patient care and resource utilization.
Responsibilities
- Staffing and Leadership:
- Maintain adequate staffing levels and skill mix to meet patient needs and departmental goals.
- Utilize industry-standard case management staffing recommendations and hospital budgetary guidelines for staffing requests.
- Conduct regular departmental meetings, provide updates, and offer ongoing education to staff.
- Complete initial and annual competency and evaluation reviews for all case management staff.
- Implement action plans for improvement based on InterQual Inter-rater Reliability (IRR) results.
- Utilization Management:
- Implement and monitor processes to ensure medical necessity reviews and appropriate patient status and level of care.
- Oversee timely referral and documentation of cases for Physician Advisor review.
- Implement and monitor utilization review processes to support admission, level of care, length of stay, and authorization for post-acute services.
- Advocate for patient and hospital interests with payers to secure appropriate reimbursement.
- Care Coordination:
- Collaborate with hospital leadership to ensure effective Patient Care Conferences and Complex Case Review processes.
- Participate in daily bed management meetings to optimize patient placement and transfers.
- Monitor patient care plans for clinical appropriateness, alignment with patient choice, and availability of resources.
- Ensure effective communication and collaboration among the healthcare team to achieve patient care goals.
- Provide education to physicians and staff regarding medical necessity, documentation, and compliance.
- Regulatory Compliance:
- Ensure compliance with federal, state, and local regulations and accreditation requirements related to case management.
- Ensure departmental structure, staffing, policies, and procedures align with CMS Conditions of Participation and industry best practices.
- Education:
- Graduate of an accredited school of Nursing.
- Bachelor's degree in Nursing or a health-related field, or equivalent experience.
- Master's degree in Nursing, Business Administration, or Hospital Administration preferred.
- Licensure:
- Licensed to practice as a Registered Nurse in the State of Michigan.
- Experience:
- Three to five years of acute hospital case management leadership experience.
- Five years of acute hospital case management experience is preferred.
- McKesson InterQual® experience preferred.
- Business planning experience preferred.
- Certifications:
- Accredited Case Manager (ACM) preferred.
- Skills:
- Strong analytical, fiscal, communication, interpersonal, teaching, and project management skills.
- Demonstrated leadership ability and comfort with decision-making responsibilities.
- Technical knowledge of community resources, regulatory requirements, reimbursements, and utilization management procedures.
Job Summary
Full Time
$148k-199k (estimate)
05/21/2024
06/14/2024
The job skills required for Director of Case Management include Case Management, Leadership, Patient Care, Coordination, Collaboration, Utilization Management, etc. Having related job skills and expertise will give you an advantage when applying to be a Director of Case Management. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Director of Case Management. Select any job title you are interested in and start to search job requirements.
If you are interested in becoming a Director of Case Management, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Director of Case Management for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Director of Case Management job description and responsibilities
You'll establish and implement policies and procedures to guide the provision of care management services.
04/09/2022: New Orleans, LA
You will ensure the proper distribution of the organization's resources towards case management.
02/07/2022: Allentown, PA
As a director Of case management, you will be in charge of coordinating and delivering care management operations within the organization.
03/02/2022: New Suffolk, NY
You'll ensure adherence to regulations for care management processes.
02/14/2022: Moline, IL
Provide strategic direction and leadership in the development and execution of innovative, industry leading, member patient-centered strategies.
02/13/2022: Olympia, WA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Director of Case Management jobs
Besides technical and team management skills, a case management director should also have good communication and organizational skills.
03/08/2022: Tuscaloosa, AL
Being able to relate to patients can help case director advocate for their needs.
02/24/2022: Santa Maria, CA
Excellent knowledge of case management principles, healthcare management and reimbursement are needed for this position.
04/09/2022: Vineland, NJ
You must have excellent organizational and time management skills to be good on this job.
03/28/2022: Lynchburg, VA
Get to learn time management, and multitasking skills.
03/24/2022: Everett, WA
Step 3: View the best colleges and universities for Director of Case Management.
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