Director - Case Management

Case Management Director

At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Join us. Let's go beyond expectations and transform healthcare together.

The Case Management Director is accountable and responsible for departmental assessment, problem identification, budget, outcome monitoring and reporting, long term planning and evaluation of all operational aspects of the Clinical Resource Management and Social Services departments. Oversees clinical operations for managed care plan contracts including utilization management, case management, and social services. Responsibilities include directing the activities, performance and development of staff members and the development and evaluation of new processes and improvements. The Director assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of the organization into the Case Management Department and their own personal job performance.

Provides state of the art Case Management direction, including clinical and financial management at the patient level, to ensure the consistent high quality provision of care coordination, transitional planning and utilization management. Provides leadership and coordination of Case Management, working closely with the Chief Medical Officer and the Case Management Manager / Supervisor. Develops and ensures close working relationships internally with other system departments and physicians and externally with health plans, care facilities, agencies, other hospitals and vendors, as required. Utilizes data to make informed decisions related to the delivery and outcomes of Case Management, department productivity and staffing. Serves as a change agent for implementation of new programs and existing ones. Member of the Nursing Leadership Council.

Essential Functions :

• Develops an environment that supports excellence in personalized patient case management and service by leading and directing implementation of the efficient movement of the patient through the continuum of care, utilizing Case Management principals of Care Coordination, Transition Planning and Utilization Management.
• Maintains sound financial practices that support the outcomes of the program and the financial goals of the organization.
• Develops, with the Chief Medical Officer and Executive staff, strategic metrics short and long range Utilization goals in line with HonorHealth system goals to achieve the necessary clinical and financial outcome measures identified.
• Directs, manages and evaluates personnel, along with the Case Management Managers / Supervisors, assuring consistent monitoring of staff competence.
• Facilitates and supports educational opportunities to provide innovative learning experiences for staff and students and create a culture of development that ensures a standard of competencies.

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