What are the responsibilities and job description for the Director Case Management position at Mission Trail Baptist Hospital?
POSITION SUMMARY
Responsible for hospital utilization performance improvement and operational management of the Case Management Department in
order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered,
support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
This position integrates national standards for case management scope of services including: Utilization Management supporting
medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and
patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at
appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy;
Education provided to physicians, patient, families and caregivers. Completes established competencies for the position within
designated introductory period. Other related duties as assigned.
