Director Case Management

Kindred Healthcare - Riviera Beach, FL

Full-time
Description

Kindred Transitional Care Hospitals has a career opportunity for you as a Director Case Management! As a division of Kindred Healthcare, we play a vital role in the recovery process for chronic, critically ill and medically complex patients who require acute care and rehabilitation over an extended period.

Your career growth begins when you join an interdisciplinary team, where doctors, nurses, therapists and other experts work together to form individualized care plans for our patients and residents. Opportunities through our development programs, training seminars and university partnerships, not only allow for continual career growth but emphasize our commitment to investing in our employees and developing future healthcare leaders.

The goal of our team is to deliver intensive, multidisciplinary care and transition patients' home or to a lower level of care as quickly and safely as possible. Each employee's dedication is essential to meet and exceed the needs of each patient, resident and family we serve. Ranked as one of Fortune magazine's 'Most Admired Healthcare Company' for 9 years, Kindred welcomes you to join our team and build a career that touches lives as a Director Case Management!

As a Director Case Management, you will:
Develop and implement the philosophies, policies, procedures and goals for the Case Management Department.
Train and develop the Case Management staff and motivate them to accomplish department goals and objectives.
Develop and oversee the annual Case Management budget.
Prepare and evaluate monthly, quarterly and annual reports of the Department's functions.
Provide information regarding changes in Medicare regulations and documentation issues to physicians and others as needed.
Maintain Prospective Payment System, monthly case log and other files needed for peer review organization and specific needs of the hospital.
Analyze physician utilization patterns, comparing to national and individual hospital standards. Communicate findings to Utilization Review and other appropriate individuals.
Discuss denial of coverage related to Utilization Review with the Director of Quality Management. Assist with on-site monitoring reviews by PRO, Blue Cross, outside review organizations and third-party payers.
Maintain a working relationship with local, state and federal agencies, recognizing the hospital's position in the community and its need for cooperation and assistance from such services
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Qualifications

As a Director Case Management, you will have:
Bachelor’s degree in clinical area required. Bachelor of Science in Nursing preferred. Equivalent combination of education, training, and experience may substitute for education requirements.
Healthcare professional licensure required as Registered Nurse, Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW).
Appropriate certification in Case Management preferred; for example, Commission for Case Manager Certification (CCMC); Association of Rehabilitation Nurses (ARN) certification.
Minimum three years experience in Hospital Case Management.

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