Summary:

The Director of Case Management’s primary responsibilities include: The manager of case management is responsible and accountable for the implementation of the case management program at the hospital level. The components/roles of the inpatient case management program consist of the following: Care facilitation, utilization management, case management and discharge planning.

Supervises– Case Managers and Social Workers

Duties:

• Provide leadership, education and supervision for the day-to-day workflow of Case Managers and Social Workers
• Monitor Case Management Department’s documentation to ensure meets regulatory compliance.
• Collaborate with the Chief Financial Officer and Quality Department to develop and maintain quality improvement programs and trending of data (e.g. avoidable Days, Readmissions)
• Maintain skills in case management and utilization review to allow for coverage of patient caseload to cover staffing needs of all areas of the hospital.
• Communicate with physicians concerning patient needs and aid with the development of the appropriate plan of treatment and assist with level of care and bed placement assignments.
• Directly responsible for personnel actions including hiring, performance appraisals, employee schedules, and maintaining payroll records and time reports in KRONOS.
• Facilitate daily Multidisciplinary Rounds to provide collaboration with other disciplines to provide holistic patient care.
• Participate in discharge planning.
• Provides necessary education and resources to meet the discharge needs of individual patients and families.
• Active participant in the Utilization Review Committee and Revenue Recycle Committee.
• Promote efficient utilization of clinical resources.
• Promotes the appropriate amount of resources used based on patient acuity.
• Assures appropriate level of understanding, awareness, and compliance with all applicable Joint
• Commission, CMS, state and local agency laws, internal/external regulations, guidelines, policies, procedures, and professional standards.
• Other duties as assigned.
• Working knowledge of payer requirements and discharge planning regulations that support the effect of the development of departmental policies, procedures, and standards.
• Working knowledge of Medicare, managed care, inpatient, outpatient, and home health continuum, as well as utilization management, discharge planning, and case management.
• Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
• Working knowledge of concepts associated with performance improvement.
• Self-motivated, proven communication skills, assertive, able to work independently and as a team member.
• Demonstrated effective working relationships with physicians.

Education:

• Graduate of a program of Registered Nursing.
• Bachelor of Science in Nursing degree preferred.

Experience:

• Minimum of two years of Case Management experience in utilization management, case
• management, discharge planning, or other cost/quality management program.
• Two to three years of previous management experience is preferred with a minimum of two years' experience in hospital-based nursing.

Certificate/License:

• Iowa Mandatory Reporter - Child and Dependent Adult Abuse Certificates
• Current RN license in the state of lowa or a multistate license allowing to work in the state of Iowa

Job Type: Full-time

Pay: $93,272.00 - $125,900.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Relocation assistance
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Case management: 2 years (Required)
• Hospital: 2 years (Required)

License/Certification:

• RN State/compact license for IA (Required)

Work Location: In person