Market Director, Case Management

Lifepoint Health•Gallatin, TN

About The Position

The Market Director, Case Management directs the department’s activities and resources to achieve departmental and organizational objectives. The role develops and implements departmental goals, plans, and standards consistent with clinical, administrative, legal, and ethical requirements. It oversees departmental operations, including patient care delivery, information technologies, service-level determination, and complaint management, with a focus on performance and quality control. The position plans and monitors staffing activities, including hiring, orientation, evaluation, disciplinary actions, and continuing education. It prepares and monitors budgets, ensures operations stay within allocated funding, coordinates internal and external audits, encourages professional growth, and integrates evidence-based practices into operations and clinical protocols. The role serves internal coworkers and external customers, clients, patients, contractors, and vendors, and may work with sensitive or confidential information. It requires an understanding of healthcare regulations and compliance, including HIPAA, as well as business office standards and practices. This role manages the work of others, including assigning, scheduling, and reviewing work, maintaining quality standards, and hiring, terminating, training, developing, and evaluating staff. The work is performed in an office and hospital environment, with minimum overnight travel of up to 10%.

Requirements

  • Current state RN license.
  • Degree from an accredited nursing school.
  • Basic Life Support certification required within 30 days of hire.
  • Understanding of healthcare regulatory and compliance requirements, including HIPAA.
  • Knowledge of business office standards and recommended practices.
  • Ability to perform business mathematical calculations and interpret graphs.
  • Moderate computer skills, including use of email, word processing, data entry, spreadsheets, graphics, and simple functions in business documents and applications.
  • Ability to communicate complex information, interact with management, address delicate situations, and motivate and persuade others.
  • Ability to analyze and interpret varied and complex business problems.
  • Ability to make functional decisions, set goals and priorities, and resolve problems for others.
  • Ability to manage multiple projects, including task delegation, oversight, and resource allocation.
  • Ability to occasionally lift and/or move up to 20 pounds and meet the described physical and vision demands.

Nice To Haves

  • Bachelor’s degree in a related field preferred.
  • One year of experience preferred.

Responsibilities

  • Direct department activities and resources to achieve departmental and organizational objectives.
  • Develop and implement departmental goals, plans, and standards consistent with clinical, administrative, legal, and ethical requirements.
  • Direct and evaluate departmental operations, including patient care delivery, information technologies, service-level determination, and complaint management.
  • Plan and monitor staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education.
  • Prepare, monitor, and evaluate departmental budgets and ensure compliance with allocated funding.
  • Coordinate and direct internal and external audits.
  • Create and foster an environment that encourages professional growth.
  • Integrate evidence-based practices into operations and clinical protocols.
  • Manage staff work by planning, assigning, scheduling, and reviewing work and ensuring quality standards.
  • Hire, terminate, train, develop, review the performance of, and administer corrective action for staff.
  • Maintain regular and reliable attendance and perform other duties as assigned.

Benefits

  • Medical, dental, and vision coverage.
  • Life, accident, critical illness, and hospital indemnity insurance.
  • Short- and long-term disability insurance.
  • Paid family leave and paid time off.
  • Higher education and certification tuition assistance.
  • Loan assistance.
  • 401(k) retirement package with company match.
  • Wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
  • Ongoing learning and career advancement opportunities.
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