Director of Case Management

Job Description Responsible for coordinating and facilitating multiple resources, internal and external, into a unique and single approach to care coordination for each patient receiving case management services. Will identify and implement processes that support and promote efficient patient throughput across the healthcare continuum resulting in optimal clinical outcomes, appropriate utilization of resources, and appropriate and accurate reimbursement. Will develop policies and procedures, audit and monitoring programs, and educational documents. Will perform risk analysis and issue resolution. Will develop, implement, and review the Utilization Management Plan annually. Will provide leadership, communication, and supervision of Case Managers, Social Workers, CDI, Care Transitions and other related functions and staff to ensure McLeod Health and McLeod Loris Seacoast strategy is operationalized. Required Skills Bachelor of Science/Arts or equivalent work experience; Current license as Registered Nurse in South Carolina or other compact state required; Certification in Case Management or Utilization Review preferred. Required Experience Minimum 3 years of case management experience required; 3 years management experience required; Minimum 3 years of compliance related experience preferred. Tracking Code20190454
Salary Range: NA
Minimum Qualification
Less than 5 years

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