Director of Case Management

Overview

Serves as the Director of Case Management responsible for implementing and supervising the day-to-day operation of the Case Management.  Manages activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal achievable standards of patient care.  Maintains the strictest confidentiality of all patient information.

Promotes the concept of cooperation and develops open lines of communication with department employees, patients, visitors and other personnel within and outside the Hospital. The Case Management Director will direct the individual functions in accordance with legislative, regulatory and accrediting guidelines.

Responsibilities

• Oversees the daily operation of the Case Management Department.
• Assists in the assessment of anticipated impact of external regulations and cost-containment efforts related to Case Management.
• Oversees Case Management activities.
• Responsible for providing a framework to effectively manage a patient's care from onset of illness to return to health (or stabilization of illness) across the continuum of care.
• Collaborates with Finance, Clinical Services and Medical Staff to maintain a system of documentation that accurately reflects patient care and resources applied to meet clinical outcomes.
• Collects, analyzes, evaluates and monitors data to achieve program goals.
• Responsible for department’s operational excellence; assures department delivers quality services in accordance with applicable policies, procedures and professional standards.
• Manages human resources to assure quality services and promote positive employee relations.
• Responsible for the fiscal management of department; assures proper utilization of organization’s financial resources.
• Effectively communicates departmental, organization and industry information to staff.
• Attains all agreed to goals and objectives within specified timeframes, as part of the organization’s overall mission.
• Attends all required Safety Training programs and can describe his / her responsibilities related to general safety, department / service safety, specific job‑related hazards.
• Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.
• Promotes effective working relations and works effectively as part of a department / unit team inter and intra departmentally to facilitate the department's / unit's ability to meet its goals and objectives.
• Provides coverage to the Director of Utilization Review for vacation, sick, LOA time, etc.

Qualifications

Minimum Education

Minimum Work Experience