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Director Case Management
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-85729741

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Valley View Medical Center

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  Job posted:   Sun Mar 11, 2018
  Distance to work:   ? miles
  1 Views, 0 Applications  
Director Case Management
This position is responsible for the planning, organizing and directing of functions of the Case Management Department of the hospital; helps to resolve complex patient needs through organizational resource management; acts as a resource person to the medical staff, hospital staff, administration and company; follows the facility's policies and procedures, local, state, and federal regulations.
Every effort has been made to state the

job description as complete as possible. However, it in no way states or implies that these are the only duties the director of case management is required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position. This position description does not restrict the right of management to assign or reassign duties and responsibilities with and without notice.


This position supervises the employees who conduct case management including licensed RNs and clerical

The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care using optimal models and effectiveness through the integration and functions of case management, resource utilization, utilization management and discharge planning.
Provides oversight to Case Management functions, assuring effective activities to ensure appropriate placement for patients according to reimbursement models, safe care delivery through appropriate utilization based on the patients' documented needs, optimization of reimbursement and minimal inappropriate utilization of services. Assures systems and processes are developed to identify level of care. Director implements an effective process for discharge planning and placement. The patients that the case management department reviews and optimizes are the Medical/surgical, intensive care, obstetrics, and emergency services.

*Examples of responsibilities:*

Correctly places the patients in the acceptable status of inpatient or observation.
Completes the supervisory activities of the Case Management Department, inclusive of staffing, scheduling, monitoring staffing hours, assisting with the establishment, review and/or revision of policies and procedures, and completion of annual staff evaluations.
Meets and exceeds regulatory and accreditation requirements for case management and hospital functions associated with care delivery.
Promotes an environment that encourages team building by courteously, cooperatively and effectively working with Physicians, nursing, ancillary and other support personnel in maintaining the standards of professional nursing practice in the multidisciplinary setting
Provides orientation and training for new staff members and assists with the completion of Competency Skills Checklists.
Assists with budget preparation.
Develops, reviews, and revises pathways for specifically identified DRG's to meet regulatory requirements.
Manages optimal Length of Stay (LOS), readmissions and assures documentation meets Medicare requirements to reduce the risk related to audits from recovery contractors.
Utilizes appropriate software to document clinical picture of the care being delivered to the patient.
Conducts audits, reviews and reports information to local, regional and national.
Designs, facilitates and keeps minutes of the Utilization Management Committee that meets routinely, has at least two physicians and manages the resource utilization for the patients receiving care, treatment and/or service.
Takes part of the caseload when the case managers are reaching the 15-20 patient level.


Degree / Licensure / Certification / Registration: AZRegistered Nurse License or license in compact state, valid BLS certification

Experience Required: Minimum 1-3 years Management experience preferred, 3-5 years in Case Management/Utilization Review preferred

Special Skills & Qualifications:
Must possess the ability to delegate tasks to subordinate team members and oversee their performance. Must have strong interpersonal, oral and written communication skills. Effective human relations skills are required for interfacing with team members, all levels of staff, physicians, patients, families and other contacts. Must possess the ability to effectively function in a stressful environment. Must possess the ability to use the following equipment: Telephone / Overhead Paging System / Fax Machine / Calculator

**Job:** **Case Management/Social Services*

**Organization:** **Valley View Medical Center*

**Title:** *Director Case Management*

**Location:** *Arizona-Ft. Mohave*

**Requisition ID:** *7451-1870*

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