Director of Case Management

UHS•Aiken, SC

52d

About The Position

Responsible for the overall coordination and direction of activities associated with the Case Management Department and the Healthy Outcomes initiatives. These include coordination and integration of Case Management, Utilization Management, Transition of Care, and Discharge Planning services with the goal of positively impacting the quality and efficiency of patient care provided by the hospital, medical staff, and other service providers; and for defining the framework through which department can assist the hospital in meeting its strategic and business plan initiatives, as well as alignment with UHS corporate goals and initiatives.

Requirements

Bachelor’s degree required. Masters preferred.
3-5 years’ experience in an acute-care hospital setting. Leadership experience preferred. RN preferred.
SC State board active nursing licenses for nurse candidates.
Related Social Work certification preferred.
Proven leadership in facilitating the integration of the Case Management, Utilization management, and Discharge Planning functions.
Clinical quality experience in a hospital setting with physician support preferred.
Familiarity with Case Management philosophy; knowledge of CMS regulatory requirements for Case Management.
Experienced management of multidisciplinary department; strong leadership and organizational skills.

Responsibilities

Leadership and direction to Case Management associates in collaboration of service lines toward improving patient outcomes and achieving goals of hospital business plan.
Provides direction to department service lines in identifying appropriate strategies/outcome studies for improving quality and efficiency of patient care through the following:
Length of Stay reduction.
Development of Standard of Care guidelines for diagnosis/procedure groups.
The development of criteria/definitions by which to identify avoidable or saved days.
Empowerment of department staff to provide timely intervention in patient care processes related to the multidisciplinary plan of care, efficiency of care, and medical staff documentation of care.
Maintains collaborative relationship with medical staff with regard to communication of length of stay and other quality and efficiency criteria.
Participates in various hospital, community, Corporate, or other committees and organizations as appropriate.
Performs functions related to the hiring and performance evaluations, and staffing of associates.
Performs other Director-related duties as assigned by Administration.