Job Summary

The Director of Case Management is responsible for the oversight of the Case Management unit, including but not limited to clinical resource management, discharge planning activities, patient advocacy, clinical social work, and best practices in medical necessity determination and concurrent review. This role is accountable for the execution, adaptation, and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care, and adherence to a designated Geometric Length of Stay (GLOS) for each patient.

Company Description

This healthcare organization, located in the beautiful foothills of North Carolina, operates a 355-bed acute care hospital, an 81-bed Behavioral Health facility, and provides services through more than 70 primary and specialty care providers.

Essential Functions

• Develops and implements departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements/objectives of the organization.
• Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
• Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
• Prepares, monitors, and evaluates departmental budgets, ensuring that the department operates within allocated funding. Coordinates and directs internal/external audits.
• Creates and fosters an environment that encourages professional growth.
• Integrates evidence-based practices into operations and clinical protocols.
• The Director is responsible for the overall direction and management of these areas, including planning, organizing, and directing all activities, staffing, and performance improvement in the delivery of clinical services (such as LOS reduction), as well as government and regulatory reporting.

Benefits – Wide Range of Options!

• Choose from a variety of competitive Medical, Dental, and Vision plans to best fit your needs.
• Health Savings Account (HSA)
• 401(K) retirement plan contributions
• Generous Paid Time Off
• Accident & Critical Illness Insurance
• Prescription Assistance with OptumRx
• Income protection programs for the entire family, including life insurance, Short/Long-term Disability, and Identity Theft protection.
• Employee Assistance Program at no cost to provide emotional, legal, financial, and daily life support for your entire household—available 24/7.
• Free travel and entertainment discount program to ensure you enjoy your time away from work.

Why Join Our Team?

This healthcare organization employs over 1,500 professional and clinical staff. The medical center is a 355-bed acute care facility offering a broad array of inpatient and outpatient services. Dedicated to meeting the healthcare needs of the community, the organization believes its employees are the most valuable assets in achieving this goal. Significant strides have been made to ensure employee satisfaction. If you are passionate about changing lives, we are looking for you!

Qualifications

Minimum Education

• Associate’s Degree in Nursing – Required
• Bachelor’s Degree in Nursing or Master’s Degree in a related field – Preferred

Licenses/Certifications

• Current RN license to practice in North Carolina

Minimum Work Experience

• Minimum 3 years of management experience – Preferred