Director of case management

Position: Director of Case Management - RN

Location: Henderson, NC

Salary: $62,850 - $84,800

Work Schedule: Full Time, 8 - 12 hours a day, 36 - 40 hours a week

Job Description

About Our Health System

Join our dedicated team committed to delivering exceptional patient care and outcomes. As a Director of Case Management, you will play a critical role in ensuring our healthcare services are aligned with clinical, administrative, legal, and ethical standards.

Responsibilities

• Departmental Goals and Standards: Develop and implement departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements of the organization.

• Operations Management: Direct and evaluate departmental operations, including patient care delivery, information technologies, service level determination, and complaint management to achieve performance and quality control objectives.

• Staffing Management: Plan and monitor staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.

• Budget Management: Prepare, monitor, and evaluate departmental budgets, ensuring compliance with allocated funding. Coordinate and direct internal/external audits.

• Professional Growth: Create and foster an environment that encourages professional growth and integrates evidence-based practices into operations and clinical protocols.

• Clinical Leadership: Provide clinical leadership for Patient Care Coordinators and Social Workers on issues regarding quality, resource management, utilization review, and discharge planning.

• Service Delivery Review: Review the delivery of services and care provided in the acute care setting for medical necessity, appropriateness, and conformance to professional standards.

• Interdisciplinary Collaboration: Collaborate with the Nursing Director regarding interdisciplinary patient care rounds.

• Safety Programs: Participate in hospital and departmental safety programs.

• Performance Improvement: Participate in Performance Improvement, collect data, and identify opportunities for improvement.

• Payment Denials: Communicate responses to potential or actual payment denials and collaborate with individual physicians to resolve utilization review concerns.

Qualifications

• Education:

  • Bachelor's degree in Nursing required.

  • Master's degree preferred or an equivalent combination of work experience and education.

  • North Carolina RN license required.

• Required Skills:

  • Basic Life Support (BLS) certification from the American Heart Association (AHA).

  • Critical thinking skills, decisive judgment, and the ability to work with minimal supervision.

  • Ability to work in a stressful environment and take appropriate action.

• Work Experience:

  • Minimum of 3 years of nursing experience preferred or an equivalent combination of work experience and education.

  • Previous supervisory experience preferred.

Benefits

• Comprehensive health, dental, and vision insurance plans.

• Health Savings Account (HSA) and Flexible Spending Accounts (FSAs).

• Short-Term and Long-Term Disability insurance.

• Life Insurance and Accidental Death & Dismemberment (AD&D) insurance.

• 401K plan with employer matching.

• Paid Time Off (PTO).

• Tuition Reimbursement.

• Employee Assistance Program (EAP).

• Wellness Program.