Director Case Management

Job Summary

The Director of Case Management is responsible for the oversight of Case Management unit, including but not limited to clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review. 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

Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and 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, and ensures that the department operates in compliance with 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, performance improvement in the delivery of clinical services (such as LOS reduction), and reporting needs within the FRMC, as well as government and regulatory reporting.

Benefits - Wide range of benefits options!

• Here at Frye, you choose your own Medical, Dental, and Vision plans from a variety of competitive options that give you the coverage that best fits your needs.
• 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 such as life insurance, Short/Long-term Disability, and Identity Theft.
• Employee Assistance program at no cost to you to provide emotional, legal, financial, and daily life support for your entire household. Services are available 24 hrs. a day, 7 days a week.
• Free travel and entertainment discount program to ensure you enjoy your time away from work.

Job Type: Full-time

Pay: $110,000.00 - $145,000.00 per year

Benefits:

• Health insurance
• Paid time off

Schedule:

• Day shift

Education:

• Associate (Required)

Experience:

• Case Management leadership: 2 years (Required)

License/Certification:

• BLS (Required)
• RN License North Carolina (Required)

Work Location: In person

Salary : $110,000 - $145,000