Director, Case Management - FT (EXEMPT)

Job Specifics
Career Department
Case Management
Status
Full Time
Shift
8:00a-5:00p
Average Weekly Hours
40
Contact
Employment Specialists
Phone
Email
careers [at] knoxcommhosp [dot] org
Posting Date

JOB SUMMARY

Provides 24 hour leadership and accountability for the clinical practice and operational functions for case management.  Ensures quality services for neonatal, pediatric, adolescent, adult and geriatric patients by collaborating intra/interdepartmentally with staff, colleagues, administration, physicians and others.  Effectively manages materiel, fiscal and human resources.  Adheres to organizational policies and procedures; regulatory/accrediting body requirements; and professional practice standards. 

PRIMARY JOB RESPONSIBILITIES

  • Provides leadership for the assessment, development, implementation and evaluation of safe, cost-effective care delivered within the case management department.
  • Develops and supervises the case management staff.
  • Maintains knowledge/ensures compliance of and serves as resource for hospital policies and procedures, professional practice standards and regulatory body requirements.
  • Conducts regular staff meetings and communicates information to staff in a timely manner.
  • Collaborates, communicates and maintains effective relationships with staff, physicians, other healthcare providers and colleagues, and the community.
  • Assumes accountability for the cost-effective financial performance for all resources within the area(s) of responsibility.
  • Prepares, monitors and responds to variances in the operating and capital budgets.
  • Performs needs assessments and provides/coordinates educational activities to provide for the learning needs of staff.
  • Assesses and addresses competencies of staff.
  • Utilizes data to analyze, develop and implement quality improvement and patient satisfaction initiatives that support a safe environment, regulatory expectations, reduction of risk and positive clinical outcomes for targeted patient populations.
  • Develops/assists in the review and revision of hospital/division/unit policies, procedures and protocols.
  • Demonstrates knowledge of disaster/emergency procedures and responds appropriately.
  • Represents division and/or hospital on appropriate internal/external committees and functions.
  • Delegates appropriately.
  • Integrates best practices in the delivery of case management services.  
  • Maintains patient, employee, physician and organization confidentiality; respects the rights, privacy and property of others.
  • Demonstrates positive customer service.
  • Assumes responsibility and accountability for individual knowledge, skills, performance and behavior in accordance with hospital, division and unit standards of care and policies and procedures.
  • Utilizes measures to promote and maintain patient, visitor and personnel safety.
  • Demonstrates the appropriate use of infection control principles and personal protection equipment. 
  • Supports the mission, values and vision of the organization.      

ADDITIONAL RESPONSIBILITIES

  • Participates in local, state and national professional organizations.
  • Participates in hospital activities and represents the hospital in delegated functions.
  • Maintains professional growth for self to ensure current and appropriate knowledge base for area(s) of responsibility.
  • Presents a professional image.
  • Participates in staff meetings, education programs, committees, QI activities and mandatory inservices.
  • Demonstrates initiative in personal/professional development.
  • Assists with control of costs through the judicious use of human and materiel resources.

Other duties as assigned.

Requirements Include

EDUCATION AND WORK EXPERIENCE

  • Graduate of an accredited program for Nursing education.
  • Bachelor’s Degree in Nursing required. 
  • Current licensure to practice professional Nursing in the State of Ohio.
  • Master's degree or equivalent experience preferred.
  • Three to five year's experience in a hospital setting.
  • Previous management/supervisory experience preferred.
  • Current certification as a Case Management Administrator preferred.

 

KNOWLEDGE AND SKILLS

  • Knowledge of leading practice in clinical care and payer requirements.
  • Working knowledge of managed care, inpatient, outpatient and the home health continuum.
  • Working knowledge of utilization management and discharge planning.
  • Knowledge of concepts associated with process improvement.
  • Demonstrated effective working relationship with medical staff.
  • Ability to work collaboratively with healthcare professionals at all levels to achieve established goals and improve quality outcomes.      
  • Working knowledge of regulatory and accrediting body standards and requirements.
  • Working knowledge of fiscal management principles and practices.
  • Demonstrated ability to actively manage change, resolve conflict, problem-solve and make decisions.
  • Successful completion of mandatory requirements including unit proficiencies/competencies.
  • Demonstration of effective problem solving, decision-making, interpersonal and team work skills.
  • Demonstration of effective verbal and written communication.
  • Demonstration of positive customer service.  
  • Demonstration of strong clinical knowledge and skills.
  • Basic computer skills.