Case Management Director II
Company: Encompass Health
Location: Prattville
Posted on: April 17, 2024
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Job Description:
Sign on Bonus $10,000. 00As a member of Senior Leadership, the
Director of Case Management (DCM) is responsible for the day to day
operations and human resource management of the department of Case
Management. With a central focus on census management, patient care
outcomes, and key care indicators, the DCM oversees the
interdisciplinary plan of care and the discharge planning process
to ensure the effectiveness and appropriateness of services. The
DCM is a patient and family advocate to ensure that services are
delivered to meet the needs of patients and their families, and
that the utilization of resources is appropriate. RESPONSIBILITIES
AND TASKS Performs all duties and responsibilities of a Case
Manager during case management services. Assigns patient caseload
to department members and self for optimal service delivery.
Coordinates/communicates effectively with administration, medical
staff, and interdisciplinary team. Participates, as appropriate, in
developing managed care strategies and plans for the hospital.
Consults on service delivery, financial management, and discharge
planning processes. Oversees team conference process and educates
staff in facilitation and reporting. Leads daily case management
operations meetings. Represents department in hospital operations.
Analyzes reports from systems such as PATCOM, UDS, and Press Ganey.
Implements- and educates case managers on- effective continuum of
care and community resources. Provides appropriate training,
education, and management to the department of Case Management.
Trains Case Managers on managing caseloads and interpreting
regulations, policies, operational procedures and objectives.
Reviews operations in assigned area to ensure a high level of
quality that is consistent with organizational standards. Completes
special projects and other duties as requested to support needs of
organization. Coordinates and participates in hospital utilization
review process. Performs case management analysis. Oversees
concurrent review functions with appropriate follow-up action plan
and intervention. Ensures compliance with CMS regulations and
Conditions of Participations for discharge planning. Manages core
staffing plan and employs flexible staffing plan as necessary.
Builds relationships as defined through targeted goals of the
business plan. Networks with insurance companies, self-insured
employers, case management firms, and/or other health care
networks. Acts as a resource for case managers and other team
members. Coordinates with other department managers to direct
quality of care delivery. Completes mandatory training and courses
required by completion date. Participates in administrative on-call
schedule and coordinates case management on-call schedule.
Qualifications License or Certification: Must be qualified to
independently complete an assessment within the scope of practice
of his/her discipline (for example, RN, SW, OT, PT, ST, and
Rehabilitation Counseling). If licensure is available for the
discipline within the hospital's state, individual must hold an
active license. Current CCM - or ACM certification is required or
must have obtained within one year of being placed in the position.
Minimum Qualifications: For Nursing, must possess bachelor's degree
in Nursing (BSN) with RN licensure. For other eligible health care
professionals, must possess a minimum of a bachelor's degree;
graduate degree is preferred. 3 years of hospital-based Case
Management experience including Utilization Review and Discharge
Planning experience.
Keywords: Encompass Health, Dothan , Case Management Director II, Executive , Prattville, Alabama
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