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Director of Case Management - RN
$143k-192k (estimate)
Full Time
1 Month Ago
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VSV WINS INC. is Hiring a Director of Case Management - RN Near Henderson, NC
Position: Director of Case Management - RN Location: Henderson, NC Salary: As per Exp. Work Schedule: Full Time, 8 - 12 hours a day, 36 - 40 hours a week Job Description
About Our Health SystemJoin our dedicated team committed to delivering exceptional patient care and outcomes. As a Director of Case Management, you will play a critical role in ensuring our healthcare services are aligned with clinical, administrative, legal, and ethical standards.
Responsibilities
About Our Health SystemJoin our dedicated team committed to delivering exceptional patient care and outcomes. As a Director of Case Management, you will play a critical role in ensuring our healthcare services are aligned with clinical, administrative, legal, and ethical standards.
Responsibilities
- Departmental Goals and Standards: Develop and implement departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements of the organization.
- Operations Management: Direct and evaluate departmental operations, including patient care delivery, information technologies, service level determination, and complaint management to achieve performance and quality control objectives.
- Staffing Management: Plan and monitor staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
- Budget Management: Prepare, monitor, and evaluate departmental budgets, ensuring compliance with allocated funding. Coordinate and direct internal/external audits.
- Professional Growth: Create and foster an environment that encourages professional growth and integrates evidence-based practices into operations and clinical protocols.
- Clinical Leadership: Provide clinical leadership for Patient Care Coordinators and Social Workers on issues regarding quality, resource management, utilization review, and discharge planning.
- Service Delivery Review: Review the delivery of services and care provided in the acute care setting for medical necessity, appropriateness, and conformance to professional standards.
- Interdisciplinary Collaboration: Collaborate with the Nursing Director regarding interdisciplinary patient care rounds.
- Safety Programs: Participate in hospital and departmental safety programs.
- Performance Improvement: Participate in Performance Improvement, collect data, and identify opportunities for improvement.
- Payment Denials: Communicate responses to potential or actual payment denials and collaborate with individual physicians to resolve utilization review concerns.
- Education:
- Bachelor's degree in Nursing required.
- Master's degree preferred or an equivalent combination of work experience and education.
- North Carolina RN license required.
- Required Skills:
- Basic Life Support (BLS) certification from the American Heart Association (AHA).
- Critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
- Ability to work in a stressful environment and take appropriate action.
- Work Experience:
- Minimum of 3 years of nursing experience preferred or an equivalent combination of work experience and education.
- Previous supervisory experience preferred.
- Comprehensive health, dental, and vision insurance plans.
- Health Savings Account (HSA) and Flexible Spending Accounts (FSAs).
- Short-Term and Long-Term Disability insurance.
- Life Insurance and Accidental Death & Dismemberment (AD&D) insurance.
- 401K plan with employer matching.
- Paid Time Off (PTO).
- Tuition Reimbursement.
- Employee Assistance Program (EAP).
- Wellness Program.
Job Summary
JOB TYPE
Full Time
SALARY
$143k-192k (estimate)
POST DATE
08/03/2024
EXPIRATION DATE
08/08/2024
WEBSITE
vsvwins.com
HEADQUARTERS
San Ramon, CA
SIZE
<25
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