Talent.com
Case Management Director - RN or LCSW
Case Management Director - RN or LCSWNortheast Georgia Health System Inc • Gainesville, GA, United States
Case Management Director - RN or LCSW

Case Management Director - RN or LCSW

Northeast Georgia Health System Inc • Gainesville, GA, United States
30+ days ago
Job type
  • Full-time
Job description

Job Category :

Executive Leadership, Nursing - Registered Nurse

Work Shift / Schedule :

8 Hr Morning - Afternoon

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role : Job Summary

Coordinates the development and implementation of case management and social work services with an emphasis of vertical integration throughout the Northeast Georgia Health System delivery system. Organizationally responsible for case management, discharge planning, access control, continuum coordination, pre-certification for post acute services, resource management, and inpatient acute social work.

Minimum Job Qualifications

  • Licensure or other certifications : Commensurate with professional requirements, successful completion of ACM or CCM exam within 2 years, and currently licensed as a RN or LCSW.
  • Educational Requirements : Bachelor's Degree required, Master Degree required if Social Work candidate.
  • Minimum Experience : Five (5) or more years experience in hospital clinical / financial operations and management. Experience in at least one major component of Case Management, i.e. Discharge Planning, Clinical Social Work; previous Case Manager. Experience working with third party payers and Physicians.
  • Other :

Preferred Job Qualifications

  • Preferred Licensure or other certifications :
  • Preferred Educational Requirements : Masters Degree preferred, i.e., Nursing, Business Health, Management, Leadership, Case Management, etc within 3 years if RN.
  • Preferred Experience : Experience in healthcare Federal and State regulations.
  • Other :
  • Job Specific and Unique Knowledge, Skills and Abilities

  • Knowledgeable in operational design, assertiveness / persuasiveness, effective written / verbal communication, and ability to effect change. Possesses positive relationship building, flexibility, problem solving, organizational skills, analytical skills, high level of emotional intelligence, and vision
  • Must have knowledge of healthcare funding resources, patient services and clinical standards and outcomes
  • Essential Tasks and Responsibilities

  • Coordinates the operational design and collaborates to ensure an integrated case management and social work function.
  • Develops and coordinates the implementation of the case management function from a systems perspective promoting an interdisciplinary collaborative proactive environment.
  • Coordinates the development and implementation of case management education.
  • Identifies opportunities and makes recommendations to improve NGHS services and to enhance continuum options.
  • Works closely with senior management and the multi-disciplinary team to manage the delivery of patient services within given time frames, to decrease the length of stay for inpatient care, to ensure effective and prudent use of resources, and to improve care continuity and patient outcomes.
  • Participates in length of stay system initiatives and is an active member of all LOS steering committees. This position is ultimately accountable for ensuring case management duties are fulfilled during IDTs (Interdisciplinary Team Meetings) and must round regularly and participate in IDTs to improve system Length of Stay.
  • Works closely with Providers to better manage the process for admission, concurrent patient management, discharge and post discharge activities.
  • Evaluates program structure and processes on a continuous basis to adapt program design to meet the demands of a changing healthcare system and organizational objectives.
  • Provides for systematic patient management through effective use of NGHS continuum and maintains organizational responsibility for access control.
  • Works with Providers to coordinate, develop and implement clinical process improvements.
  • Works with Directors of Operations and Quality Improvement to analyze data for the purpose of identifying opportunities for clinical process improvements.
  • Participates with Providers and NGMC internal staff to develop, implement and monitor the effectiveness of clinical pathways.
  • Works with senior administration to resolve operational issues that are barriers to clinical process improvement endeavors.
  • Participates in MRUR (Medical Record / Utilization Review Committee), including performing and updating on medical / clinical case studies.
  • Explores opportunities and makes recommendations for organizational standards.
  • Responsible for components of and strives to enhance / maintain NGHS financial performance improvement.
  • Maintains accountability for timely pre-certification for Post Acute services and minimizes the organizational financial risk for penalty.
  • Provides case-by-case contract negotiations for the organization, where indicated.
  • Responsible for acute inpatient social work functions.
  • Effectively and efficiently manages Case Management Department.
  • Hires appropriate budgeted positions and assures proper training.
  • Conducts regular, informative meetings with staff and responds to their needs.
  • Performs performance appraisals in a timely and open manner.
  • Maintains professional work ethics within the department and assures maximum staff productivity.
  • Provides staff counseling and disciplinary action as necessary and / or required.
  • Assesses departmental workload and determines appropriate staff allocations.
  • Coordinates, monitors and manages outcome data to measure clinical and financial performance.
  • Works closely with Providers and staff to provide, interrupt and monitor clinical / financial data for the purpose of improving hospital / Physician performance and anticipating payer and managed care demands.
  • Maintains responsibility for tracking and reporting avoidable day.
  • Demonstrates sensitivity to customer service data and develops appropriate strategies for response as indicated.
  • Physical Demands

  • Weight Lifted : Up to 20 lbs, Occasionally 0-30% of time
  • Weight Carried : Up to 20 lbs, Occasionally 0-30% of time
  • Vision : Moderate, Frequently 31-65% of time
  • Kneeling / Stooping / Bending : Occasionally 0-30%
  • Standing / Walking : Frequently 31-65%
  • Pushing / Pulling : Occasionally 0-30%
  • Intensity of Work : Occasionally 0-30%
  • Job Requires : Reading, Writing, Reasoning, Talking, Keyboarding, Driving
  • Working at NGHS means being part of something special : a team invested in you as a person, an employee, and in helping you reach your goals.

    NGHS : Opportunities start here.

    Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

    Create a job alert for this search

    Director Case Management • Gainesville, GA, United States

    Related jobs
    RN - PACU, PRN

    RN - PACU, PRN

    Piedmont Healthcare Inc. • Snellville, GA, United States
    Full-time
    Arial, sans-serif; color : #1a1a1a;"> .Piedmont Eastside, Surgical Services : .Arial, sans-serif; color : #1a1a1a;"> .Sophisticated and advanced outpatient and inpatient surgical services, including robo...Show more
    Last updated: 8 hours ago • Promoted • New!
    Travel Nurse RN - Med Surg

    Travel Nurse RN - Med Surg

    The Good Life MedStaff • Cumming, GA, US
    Full-time
    The Good Life MedStaff is seeking a travel nurse RN Med Surg for a travel nursing job in Cumming, Georgia.Job Description & Requirements. The Good Life MedStaff Job ID #34603061.Pay package is b...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    GHR Healthcare • Cumming, GA, US
    Full-time
    GHR Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Cumming, Georgia.Job Description & Requirements. GHR Healthcare Job ID #74135184.Pay package is ...Show more
    Last updated: 5 days ago • Promoted
    Travel Nurse RN - Med Surg

    Travel Nurse RN - Med Surg

    Nationwide Therapy Group • Cumming, GA, US
    Full-time
    Nationwide Therapy Group is seeking a travel nurse RN Med Surg for a travel nursing job in Cumming, Georgia.Job Description & Requirements. NTG is committed to matching you to the right position...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Med Surg

    Travel Nurse RN - Med Surg

    Health Advocates Network - Nursing • Cumming, GA, US
    Full-time
    Health Advocates Network - Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Cumming, Georgia.Job Description & Requirements. Health Advocates Network is urgently hiring ...Show more
    Last updated: 30+ days ago • Promoted
    RRT, PRN Days

    RRT, PRN Days

    Piedmont Healthcare Inc. • Snellville, GA, US
    Full-time
    Performs patient assessments and testing, provides patient education, and monitors compliance with prescribed therapies related to pulmonary diseases and sleep disorders. Do what you love, and love ...Show more
    Last updated: 2 days ago • Promoted
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Go Healthcare • Cumming, GA, US
    Full-time
    Go Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Cumming, Georgia.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours per...Show more
    Last updated: 30+ days ago • Promoted
    RN System Director of Case Management

    RN System Director of Case Management

    healthcarerecruitmentpartners.com • Gainesville, GA, United States
    Full-time
    RN System Director of Case Management.The Director of Case Management leads and shapes the Case Management and Social Work services. As the Director of Case Management, you’ll guide discharge planni...Show more
    Last updated: 8 hours ago • Promoted • New!
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    PRN Healthcare • Cumming, GA, US
    Full-time
    PRN Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Cumming, Georgia.Job Description & Requirements. PRN Healthcare Job ID #1470752.Pay package is b...Show more
    Last updated: 30+ days ago • Promoted
    Director of Veterans Legal Clinic

    Director of Veterans Legal Clinic

    InsideHigherEd • Athens, Georgia, United States
    Full-time
    Director of Veterans Legal Clinic.About the University of Georgia : .Chartered by the state of Georgia in 1785, the University of Georgia is the birthplace of public higher education in America and i...Show more
    Last updated: 30+ days ago • Promoted
    Registered Nurse RN Home Health

    Registered Nurse RN Home Health

    Enhabit Home Health & Hospice • TOCCOA, GA, US
    Full-time
    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, E...Show more
    Last updated: 1 day ago • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    The Good Life MedStaff • Cumming, GA, US
    Full-time
    The Good Life MedStaff is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Cumming, Georgia. Job Description & Requirements.The Good Life MedStaff Job ID #34900794...Show more
    Last updated: 4 days ago • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Planet Healthcare • Cumming, GA, US
    Full-time
    Planet Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Cumming, Georgia.Job Description & Requirements. Planet Healthcare Job ID #73499294.Pay pac...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Preoperative

    Travel Nurse RN - Preoperative

    Triage Staffing • Cumming, GA, US
    Full-time
    Triage Staffing is seeking a travel nurse RN Preoperative for a travel nursing job in Cumming, Georgia.Job Description & Requirements. Travel Nursing : Pre-Op Cumming.Location : &...Show more
    Last updated: 30+ days ago • Promoted
    RRT, PRN Nights

    RRT, PRN Nights

    Piedmont Healthcare Inc. • Snellville, GA, US
    Full-time
    Performs patient assessments and testing, provides patient education, and monitors compliance with prescribed therapies related to pulmonary diseases and sleep disorders. Do what you love, and love ...Show more
    Last updated: 2 days ago • Promoted
    Director of Assessment

    Director of Assessment

    InsideHigherEd • Athens, Georgia, United States
    Full-time +1
    About the University of Georgia : .Chartered by the state of Georgia in 1785, the University of Georgia is the birthplace of public higher education in America and is the state’s flagship university....Show more
    Last updated: 11 days ago • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Nationwide Therapy Group • Cumming, GA, US
    Full-time
    Nationwide Therapy Group is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Cumming, Georgia. Job Description & Requirements.NTG is committed to matching you to...Show more
    Last updated: 30+ days ago • Promoted
    RRT - NICU, PRN

    RRT - NICU, PRN

    Piedmont Healthcare Inc. • Snellville, GA, US
    Full-time
    Do what you love, and love what you do! When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters.Here at Piedmont, we ...Show more
    Last updated: 2 days ago • Promoted