LEAD DIRECTOR OF CASE MANAGEMENT RN

80.000.000 - 120.000.000


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 the care teams within their assigned region. The position will be responsible for staff productivity, ensuring the provision of quality care services, and the reduction of unnecessary healthcare costs. The Director of Case Management will support a culture of compliance with all applicable federal and state regulations. This position works closely and collaboratively with the 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 is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate functions. Team Leadership: Lead and manage a care team consisting 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 the productivity of the care team to ensure assessments and patient visits are conducted efficiently. Billing Optimization: Collaborate with the team to optimize primary care billing, aiming for it to constitute 15% of the total for your group of patients, reducing unnecessary medical spending. Service Recovery: Manage conflicts, complaints, and concerns collaboratively and effectively. Program Review: Conduct regular reviews with leadership to ensure appropriate and timely delivery of care and support 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 leadership. Training and Supervision: Provide staff training, guidance, and supervision to ensure understanding of responsibilities, protocols, customer service standards, and software systems. Hiring: Participate in interviews and hiring staff when necessary. Administrative Tasks: Perform general administrative duties and support staff as needed. Technology Utilization: Leverage technology platforms to enhance patient care and staff productivity. Additional Duties: Perform other duties as required or requested by the company. MISSION EXPECTATIONS Take responsibility for completing own tasks and assist others to achieve success. Communicate and demonstrate the company's mission, vision, and values. Maintain prompt and regular attendance. Adhere to standards of behavior, dress code, policies, and procedures. Attend in-services and meetings regularly. Promote a culture of outstanding customer service and enhance patient experience. Be available during normal work hours; additional hours may be required. Deal tactfully with patients, employees, management, visitors, and others while maintaining an open-door policy. Make independent decisions when circumstances warrant. #J-18808-Ljbffr

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