Director of Case Management

Norwood Job Details

Make Your Dream Job Your Reality

Job Details

Director of Case Management

Job Overview

Director of Case Management

Overview:

Apply Now

A Norwood partner is seeking a Director of Case Management for their facility in Southern Oklahoma.  

Ideal candidates will have experience working in a leadership role within a short term acute care case management department.

Duties and Responsibilities

  • Oversight of the Facility’s Case Management team to ensure compliance with standards of practice and other regulatory requirements related to care management and utilization review.
  • Develop and foster effective collaboration between Case Management Departments, Medical Staff, corporate and facility leaders to ensure an integrated approach to providing care while fulfilling the hospital's goals and objectives.
  • Display an ability to work effectively within the health system's decision making and organizational structures.
  • Work closely with providers as well as internal and external physician advisors for utilization review and management activities
  • Coordinate all UM Committee activities to ensure compliance with meeting frequency and documentation of activity and outcomes
  • Work collaboratively with Revenue Cycle teams and participates in task force meetings related to medical necessity audits and denials.
  • Participate in appeals processes and work collaboratively with vendors to ensure the effectiveness and timeliness of appeals
  • Analyze length of stay and readmissions data and incorporate measures with Operations team members, Corporate Case Management Directors and other facility leaders to ensure goals are met
  • Introduce evidenced based practices geared to improve case management and transitions
  • Conduct regular staff meetings to review pertinent Federal and State regulatory requirements, emerging internal and external trends, and provide general training for staff

.  

Apply Now