Director, Case Management
- Mansfield, TX
What you'll be doing
- 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 departments 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.
What your background should be
- Minimum three years experience in hospital. Current healthcare professional licensure as registered nurse, or social worker required. Should be knowledgeable in TQM/QI and have recent experience as a case manager in insurance, workers compensation or medical management.
Required Schooling / Training
- Bachelor degree
Who is the client company
- Concern about healthcare services.
- If you are interested in this position, send your resume to email@example.com