What are the responsibilities and job description for the Director, Case Management, Jackson Behavioral Health, Mental Health Case Management, Full-Time, Days position at Jackson Health System?
Jackson Behavioral Health Hospital
Department: Mental Health Case Management
Address: 1695 NW 9th Avenue, Miami, Florida 33136
Shift Details: Full-Time Days
Summary
The Director of Case Management directs the day-to-day operations of the case management area, overseeing inpatient, outpatient, mental health, and revenue cycle management. This role ensures the effective management of case management programs and collaborates with various departments to optimize patient care and operational efficiency.
Responsibilities
Department: Mental Health Case Management
Address: 1695 NW 9th Avenue, Miami, Florida 33136
Shift Details: Full-Time Days
Summary
The Director of Case Management directs the day-to-day operations of the case management area, overseeing inpatient, outpatient, mental health, and revenue cycle management. This role ensures the effective management of case management programs and collaborates with various departments to optimize patient care and operational efficiency.
Responsibilities
- Provides leadership in managed care operations for the Jackson Health System.
- Directs the Case Management, Utilization Management, Disease Management, and Renal Management Programs.
- Develops, implements, and manages various disease management programs, including the PSN Disease Management Program, Medipass Disease Management Program for Diabetes, CHF, Hypertension, and Asthma, CAP Disease Management Program, and the SFCCN AIDS DMI Project for Miami-Dade County.
- Directs and manages the concurrent review process for PSN patients within the Jackson Health System.
- Provides leadership regarding clinical compliance activities, including the PRO activities, Clinical Compliance Program, and Medicare 7th Scope of Work.
- Oversees prospective payment systems related activities for both inpatient and outpatient care.
- Co-directs the countywide Medical Management Program during disasters. Directs and manages the Medical Foster Care Case Management Program.
- Performs all other related job duties as assigned.
- Generally requires 7 to 10 years of related experience. Management experience is required.
- Bachelor's degree in related field is required. Master's degree is strongly preferred. Employees hired into this position before January 2017 are grandfathered in to RN requirement.
- Valid Florida RN license is required. Case Management certification is preferred. Employees hired into this position before January 2017 are grandfathered in to RN License requirement.