[QF-21] | LEAD DIRECTOR OF CASE MANAGEMENT RN

Your Health Organization


Career Opportunities with Your Health Organization A great place to work. Current job opportunities are posted here as they become available. GENERAL DESCRIPTION The role of the Director of Case Management is responsible for leading and managing care teams within their assigned region. The position will oversee staff productivity, ensure the provision of quality care services, and reduce unnecessary healthcare costs. The Director will support a culture of compliance with all applicable federal and state regulations. This position works closely and collaboratively with care team members and regional leadership. AREAS OF RESPONSIBILITY A successful Director of Case Management will perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions. The following list of essential functions may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, or eliminate functions. Team Leadership: Lead and manage a care team of healthcare professionals including nurses, social workers, therapists, and health coaches. Patient Care: Engage with patients to help them understand the company's care model, their diseases, and disease management strategies. Productivity Management: Monitor and enhance team productivity to ensure assessments and patient visits are conducted efficiently. Billing Optimization: Collaborate to optimize primary care billing, aiming for it to constitute 15% of the total for your patient group, contributing to reduced unnecessary medical spending. Service Recovery: Manage conflicts, complaints, and resolution of patient and family concerns. Program Review: Conduct regular reviews with leadership to ensure timely and appropriate delivery of services to patients, families, facilities, and healthcare partners. Scheduling Oversight: Manage and oversee the scheduling process to ensure effective and well-structured schedules for providers and disciplines. Communication: Promote effective two-way communication within the team and with administration. Training and Supervision: Provide staff training, guidance, and participate in hiring processes. Administrative Tasks: Perform general administrative duties and support staff as needed. Technology Utilization: Leverage platforms to improve patient care and staff productivity. Additional Duties: Participate in coaching calls and perform other duties as assigned. MISSION EXPECTATIONS Take responsibility for completing tasks and assist others to achieve success. Communicate and demonstrate the company's mission, vision, and values. Maintain prompt and regular attendance. Adhere to behavior, dress code, and policy standards. Attend in-services and meetings regularly. Promote outstanding customer service and enhance patient experience. Be available during normal work hours; additional hours may be required. Deal tactfully with patients, staff, management, visitors, and the public, maintaining an open-door policy. Make independent decisions when circumstances warrant. #J-18808-Ljbffr

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