Director, Case Management, Behavioral Health Hospital, Mental Health Case Management, Full-Time, Day

Jackson Health • Miami, FL

8d • Onsite

About The Position

The Director of Case Management directs the day-to-day operations of the case management area, overseeing inpatient, outpatient, mental health, and revenue cycle management. This role ensures the effective management of case management programs and collaborates with various departments to optimize patient care and operational efficiency.

Requirements

• 7 to 10 years of related experience.
• Management experience is required.
• Bachelor's degree in related field is required.
• Valid Florida RN license is required.

Nice To Haves

• Master's degree is strongly preferred.
• Case Management certification is preferred.

Responsibilities

• Provides leadership in managed care operations for the Jackson Health System.
• Directs the Case Management, Utilization Management, Disease Management, and Renal Management Programs.
• Develops, implements, and manages various disease management programs, including the PSN Disease Management Program, Medipass Disease Management Program for Diabetes, CHF, Hypertension, and Asthma, CAP Disease Management Program, and the SFCCN AIDS DMI Project for Miami-Dade County.
• Directs and manages the concurrent review process for PSN patients within the Jackson Health System.
• Provides leadership regarding clinical compliance activities, including the PRO activities, Clinical Compliance Program, and Medicare 7th Scope of Work.
• Oversees prospective payment systems related activities for both inpatient and outpatient care.
• Co-directs the countywide Medical Management Program during disasters.
• Directs and manages the Medical Foster Care Case Management Program.
• Performs all other related job duties as assigned.

What This Job Offers

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