Job Requirements:
Education:
Completion of RN Diploma program or related health care program from accredited program, college or university
Experience and Certifications:
- Four to five years previous Case Management experience; two years in a management role.
- Must possess active RN licensure.
- CCM preferred
Job Description:
The Director Case Management will oversee the functions of the Case Management Department including, but not limited to, monitoring the work of individual Case Managers to assure that the following functions of the role are completed: Utilization Review for medical necessity of admission and concurrent stay, Social Services Intervention, Discharge Planning, Resource Management, Concurrent Analysis, Delay in Services and Quality Concerns. The Director of Case Management will also be responsible for the appeal process regarding denials of hospitalization. The analysis of data and reporting of monthly statistics and tracking logs is also a responsibility of this director.