Director, Case Management, Registered Nurse (RN)

Lifepoint Health • Mayfield, KY

4d • Hybrid

About The Position

This position directs the department's activities and resources to achieve departmental and organizational objectives. The Director of Case Management is responsible for developing and implementing departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements of the organization. This role involves directing and evaluating departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives. Additionally, the position plans and monitors staffing activities, prepares and monitors departmental budgets, and fosters an environment that encourages professional growth and integrates evidence-based practices. The role requires regular and reliable attendance and may involve performing other assigned duties. The position serves both internal co-workers and external customers, clients, patients, contractors, and vendors, and requires access to sensitive and/or confidential information. A comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA) is necessary, along with knowledge of Business Office Standards and Recommended Practices.

Requirements

• Bachelor's Degree in related field preferred
• Applicable work experience may be used in lieu of education
• BLS Certification
• Kentucky RN license
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages and to draw and interpret graphs.
• Moderate Computer Skills -- Frequent use of electronic mail, word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives.
• Complex Communication -- Frequently communicates complex information and interacts with management. Can present, resolve, and address delicate situations. Can motivate and persuade others.
• Varied Business Problems -- Problems are varied and complex, requiring analysis or interpretation of the situation. Problems are solved using knowledge and skills, general precedent and practices.
• Department Specific -- Decisions impact the management and operations within a department. May contribute to business and operational decisions that affect the department.
• Functional Independent Judgement -- Provides and sets goals and priorities for functional area. May make recommendations for department policies, practices, and programs. Makes decisions for and/or resolves problems for others.
• Project Planning/Organization -- Handle multiple projects simultaneously including task delegation, project oversight, and resource allocation.
• While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell.
• The employee must occasionally lift and/or move up to 20 pounds.
• Repetitive motion of upper body required for extended use of computer.
• Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Works in well-lit, ventilated and climate controlled office environment with routine office equipment; some equipment has moving mechanical parts.
• In hospital environment, may be exposed to hazards and unusual elements, which may include but are not limited to bloodborne pathogens and / or contagious illnesses, toxic chemicals, and biohazardous materials which may require extensive safety precautions and the use of protective equipment.
• Noise level in the work environment is typical for an office and/or hospital environment.

Nice To Haves

• Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA). Skilled in the application of policies and procedures. Knowledge of Business Office Standards and Recommended Practices.

Responsibilities

• Develops and implements departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements/objectives of the organization.
• Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
• Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
• Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding.
• Coordinates and directs internal/external audits.
• Creates and fosters an environment that encourages professional growth.
• Integrates evidence-based practices into operations and clinical protocols.
• Regular and reliable attendance.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Director