Director of Case Management

Great Plains HealthNorth Platte, NE
15d

About The Position

The Director Case Management has overall accountability for the Case Management function at Great Plains Health. The role established objectives, directs department operation and develops overall departmental strategies in alignment with the overall direction of case management. The Director of Case Management is responsible and accountable for clinical and financial operations of the Case Management system at Great Plains Health. The components/roles of the case management program consist of the following: Care Facilitation, Transition of Care facilitation, Utilization Management, Discharge Planning, ER Case Management/Medication Assistance, and oncology case management. The Director provides hospital-wide leadership through effective managerial and educational direction in these areas to ensure an integrated process which will coordinate health care delivery across service lines. Frequently interface with senior leadership, medical staff, quality, HIM, business office, ancillary services and nursing in a communications and change management capacity. The Director is responsible for the results of the unit as well as the development and deployment of staff within their area of responsibility.

Requirements

  • Graduate of Nursing Program, BSN/BA required. Masters Degree in Nursing, Health Administration or Business Administration or plans to complete.
  • Must possess a current, valid RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice.
  • BSN/BA required or actively enrolled in accredited program.

Nice To Haves

  • Prefer at least one national certification

Responsibilities

  • Plans, directs and supervises all aspects of the case management program at Great Plains Health.
  • Facilitates growth and development of the case management program consistent with Great Plains Health’s Mission, Vision and Values and in response to the health care environment through benchmarking for best practices, networking, quality management , and other activities as needed
  • Responsible for approving and managing the day to day operational budget ensuring that revenue, expenses, contribution margin and FTE;s meet or exceed budget.
  • Oversee the interdisciplinary plan of care, discharge-planning process and transition of care to ensure effectiveness and appropriateness of services.
  • Writes and conducts annual and interim performance appraisal reviews for the professional and non-professional staff in case management.
  • Acts as liaison to facilitate communication and collaboration between all of the medical team, (physicians, hospitalists, community care managers, nurses, community resources, nursing homes and assisted living facilities.
  • Responsible for leading a highly employee engaged performance team who incorporate leadership principles and vision in performing the functions of case management.
  • Use data and evidence based case management strategies to drive decisions, plan, and implement performance improvements for case management.
  • Coordinates and oversees the education of physicians, managers, staff, patients and families related to the case management process at Great Plains Health and the community.
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