Director of Case Management DCM

Vibra Healthcare•Boise, ID
•Onsite

About The Position

The Director of Case Management at Vibra Hospital of Boise oversees the hospital’s case management program and activities. This role monitors quality patient standards and patient and payor satisfaction, and ensures patients receive prioritized, cost-appropriate, quality services. The director assesses, organizes, develops, implements, and evaluates the case management program in accordance with applicable federal, state, and local requirements and Joint Commission standards. The role serves patients with medically complex conditions, general medical-surgical conditions, and rehabilitation and wound care needs. Vibra Hospital of Boise is a 40-bed critical care hospital in Boise, Idaho, providing acute care to patients recovering from serious illnesses or injuries. Its services address conditions including trauma, infectious diseases, wound healing, cardiovascular disease, stroke, amputation, and ventilator weaning.

Requirements

  • Current, valid, active license to practice as a Registered Nurse or Social Worker in the state of employment, or a Master’s Degree in Social Work; alternatively, a current, valid, active state license as a Respiratory Therapist, Physical Therapist, Occupational Therapist, and/or Speech Therapist together with ACM and/or CCM certification.
  • At least three years of hospital case management experience.
  • Current BLS certification from a Vibra-approved vendor.
  • Strong written and oral communication skills.
  • Ability to balance quality, cost-appropriate, and service-oriented outcomes.
  • Comprehensive knowledge of case management principles and concepts and applicable standards of voluntary and regulatory agencies for review activities.
  • Proficiency collecting and retrieving material from medical records.
  • Knowledge of utilization review, medical terminology, appropriate levels of care, treatment modalities, statutes, and healthcare delivery models.
  • Highly refined interpersonal relationship abilities, with strong negotiation and problem-solving skills.
  • Strong clinical assessment and process skills; ability to project a professional image.
  • Knowledge of regulatory standards and compliance requirements.
  • Strong organizational, prioritizing, and analytical skills.
  • Ability to make independent decisions when circumstances warrant.
  • Working knowledge of computer and software applications used in job functions.
  • Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.

Nice To Haves

  • Registered Nurse preferred.
  • Previous LTAC experience preferred.
  • ACM, CCM, and CCDS certifications preferred.
  • Previous management experience preferred.
  • Strong leadership and management ability, including motivating staff to deliver high-quality, results-oriented case management services.

Responsibilities

  • Monitor quality patient standards and patient and payor satisfaction levels.
  • Ensure patients receive prioritized, cost-appropriate, quality services.
  • Assess, organize, develop, implement, and evaluate the case management program and its activities in accordance with federal, state, and local standards, guidelines, and regulations and Joint Commission standards.
  • Provide case management services to patients with medically complex conditions and general medical-surgical conditions involving rehabilitation and wound care needs.
  • Lead and motivate staff to deliver high-quality, results-oriented case management services.

Benefits

  • Medical PPO plans with high- and low-deductible options, HSA options, and HMO options in some markets.
  • Free prescription plans.
  • Dental and vision coverage.
  • Life insurance.
  • Disability benefits.
  • Employee Assistance Plan.
  • Flexible Spending plans.
  • 401(k) matching.
  • Additional critical illness, accident, and hospital plans.
  • Company discounts for mobile phone service, electronics, cell phones, clothing, and other items.
  • Pet insurance.
  • Group legal assistance for personal legal matters.
  • Tuition and continuing education reimbursement.
  • Work-life balance.
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