*\*\* NO visa sponsorship supported*
*\*\* REQUIRED: Minimum of two years of Case Management experience in utilization management, case management, discharge planning or other cost/quality management program.
- AND - Current RN license in the state of Iowa*
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*JOB DESCRIPTION*
*GENERAL SUMMARY OF DUTIES *– The Director of Case Management’s primary responsibilities include: The manager of case management is responsible and accountable for the implementation of the case management program at the hospital level.
The components/roles of the inpatient case management program consist of the following: care facilitation, utilization management, case management and discharge planning.
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*SUPERVISES – Case Managers and Social Workers*
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*DUTIES INCLUDE BUT ARE NOT LIMITED TO*
* Provide leadership, education and supervision for the day to day workflow of Case Managers and Social Workers.
* Monitor Case Management Department’s documentation to ensure meets regulatory compliance.
* Collaborate with Chief Financial Officer and Quality Department to develop and maintain quality improvement programs and trending of data (e.
g.
Avoidable Days , Readmissions) .
* Maintain skills in case management and utilization review to allow for coverage of patient caseload to cover staffing needs of all areas of hospital.
* Communicate with physicians concerning patient needs and aid with development of appropriate plan of treatment and assist with level of care and bed placement assignments .
* Directly responsible for personnel actions including hiring, performance appraisals ,employee schedules, and maintain payroll records and time reports in KRONOS.
* Facilitate daily Multidisciplinary Rounds to provide collaboration with other disciplines to provide holistic patient care.
* Participate in discharge planning.
Provides necessary education and resources to meet the discharge needs of individual patients and families.
* Active participant of Utilization Review Committee and Revenue Recycle Committee.
* Promote efficient utilization of clinical resources.
* Promotes the appropriate amount of resources are used based on patient acuity.
* Assures appropriate level of understanding, awareness and compliance with all applicable Joint Commission, CMS, state and local agency laws, internal/external regulations, guidelines, policies, procedures and professional standards.
* Other duties as assigned.
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*KNOWLEDGE, SKILLS & ABILITIES*
* Working knowledge of payer requirements and discharge planning regulations that support the effect for the development of departmental policies, procedures and standards .
Working knowledge of Medicare, managed care, inpatient, outpatient and home health continuum, as well as utilization management , discharge planning and case management .
* Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
* Working knowledge of concepts of associated with performance improvement.
* Self-motivated, proven communication skills, assertive, able to work independently and as a team member.
* Demonstrated effective working relationships with physicians.
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*EDUCATION*
* Graduate of a program of Registered Nursing.
* Bachelor of Science in Nursing degree preferred.
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*EXPERIENCE*
* Minimum of two years of Case Management experience in utilization management, case management, discharge planning or other cost/quality management program.
* Two to three years previous management experience is preferred with minimum of two years’ experience in hospital- based nursing.
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*CERTIFICATE/LICENSE*
* Iowa Mandatory Reporter – Child and Dependent Adult Abuse Certificates
* Current RN license in the state of Iowa or a multistate license allowing to work in the state of Iowa
Job Type: Full-time
Pay: $93,000.
00 - $125,000.
00 per year
Schedule:
* 8 hour shift
Application Question(s):
* PLEASE SHARE YOUR E-MAIL ADDRESS AND YOUR ZIP CODE
* ARE YOU GRADUATED OF A PROGRAM OF REGISTERED NURSING.
? PLEASE COMMENT
* DO YOU HAVE MINIMUM OF TWO YEARS OF CASE MANAGEMENT EXPERIENCE IN UTILIZATION MANAGEMENT, CASE MANAGEMENT, DISCHARGE PLANNING OR OTHER COST/QUALITY MANAGEMENT PROGRAM.
.
? PLEASE COMMENT
* DO YOU HAVE CURRENT RN LICENSE IN THE STATE OF IOWA OR A MULTISTATE LICENSE ALLOWING TO WORK IN THE STATE OF IOWA ? PLEASE COMMENT
* ADDITIONAL INFORMATION YOU WOULD LIKE THE EMPLOYER TO KNOW ?
Work Location: In person
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