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Director of Case Management New Orleans / Metairie / Kenner, Louisiana Come join a 200+ bed hospital as Director of Case Management.
Plenty to do in the area from attractions and to learning the history of the area.
Louisiana offers a tremendous quality of life with a wonderful climate, very friendly people, laid back, and is a great place to call home!
The Director of Case Management leads and manages the day-to-day operations of utilization, clinical resource and case management departments and focuses on the continuum of care for the patient population.
Develops case management programs that allows the hospital(s) to meet clinical resource management goals as well as third party and regulatory standards.
Manges and educates staff at all levels about effective clinical resource management.
Provides formal and informal programs.
Maintains effective working relationships and effectively communicates the goals and objectives of the program to the medical staff, department staff, and others within and outside the hospital.
Evaluates the effectiveness of existing clinical protocols and pathways and makes recommendations for new ones.
Promotes organizational mission statement and goals and empowers staff and peers to achieve outstanding performance.
Effectively reports departmental activities, goals, and measures of success.
Works effectively with MCO staff and leadership to decrease denials or downgrades in reimbursement.
Maintains department standards for regulatory and accreditation purposes.
Actively seeks to resolve those issues brought forward by medical staff that have an adverse effect on patient outcomes.
Analyzes the issues for cost/benefit in terms of improving clinical and financial outcomes.
Prioritizes and recommends effective approaches that will improve clinical and financial outcomes in the hospital.
Primary liaison between Case Management and the hospital Quality Committee.
Recommends plans of care for high profile DRGs that incorporate effective Case Management strategies.
Experience: At least 3+ years Nursing Management experience in an acute care setting required Hospital Case Management experience required Managed Care Organization (MCO) experience preferred Education:
Bachelor of Science in Nursing (BSN) required Master's Degree in Nursing or a related healthcare field preferred Certifications/Licensures: Registered Nurse License required Certified Case Manager (CCM) a plus, not required Healthcare Quality of Utilization Review (HQUR) a plus, not required Special
Advanced communication and interpersonal skills Analytical and quantitative analysis skills Ability to lead a complex department to reach and exceed goals Ability to work with other departments Knowledge of Managed care trends, Medicare and Medicaid regulations We are hiring several Case Management Directors nationwide!
Please send Resume to for additional information about this position.
Case Management Recruiter is a niche division of The Clinical Recruiter focusing exclusively on Nursing Leaders in the Case Management specialty.
Please visit for more details.
The Clinical Recruiter, a nation-wide healthcare placement firm, was founded with the goal of bringing qualified healthcare professionals together in order to create an optimal atmosphere for great patient care.
Please visit our website for additional information at If you would like to learn more about this opening, please contact me at your earliest convenience.
If this is not something you are interested in, but you know of someone who would be a good fit, I would appreciate the referral.
Otie Pruett, Case Management Recruiter Direct Dial Fax: Search Jobs Facebook LinkedIn Twitter Pinterest Keywords: Case Management, Director of Case Management, Director of Care Management, Director of Utilization Review, Director of Care Coordination, Director Clinical Resource Management, Case Manager, Care Manager, Care Management, Utilization Review, Utilization Nurse, Clinical Documentation Specialist, Clinical Resource Management.