Director, Acute Care Case Management

Description Position at Norwalk Hospital Association $30K SIGN ON BONUS - FOR ELIGIBLE EXTERNAL CANDIDATESDirector, Acute Care Hospital Case Management Opportunity!Required : BSN or MSW with Acute Care Hospital experience; Must have previous Management experience to be consideredSummary : Ensure that patients receive quality care in the most cost-effective manner and at the appropriate level of care. Manage the operations and activities of the Care Coordination Department including discharge planning, utilization management and high-risk case management. Works collaboratively with the Director of transitions to ensure optimum utilization of Social Work Skills. Responsible for achieving and promoting continuous quality improvement, optimal financial productivity, patient satisfaction and other objectives identified by the Leadership Team. In collaborating with the Executive Director, this position is responsible for staff performance, establishing policies and procedures governing operations of the program and accomplishment of goals in accordance with all State and Federal Guidelines.Responsibilities : 1. Provides direct management to Care Coordination Staff. Develops program philosophy and operational goals consistent with the Organization's Mission and Strategic Plan. Ensures program compliance with Joint Commission, State and Federal Regulations relative to Discharge Planning, Utilization Management and Continuum of Care. Creates and fosters positive customer relationships with patients, physicians, healthcare agencies and the Network. Supports effective Customer Service Networks in collaboration with the Director of Transition. Identifies opportunities for growth. Develops and implements new services and / or programs. Interfaces and coordinates services with Admission, Finance, Managed Care, Medical Records, Home Care, Rehabilitative and Risk Management. Ensures provisions of a seamless continuum of care. 2. Establishes and coordinates communication with all Utilization Regulatory Agencies i.e. Qualidigm, NGS, etc., State and Third Party Payers to address Utilization Management Issues and Denials. Oversees appeals, at the first level of appeal as appropriate, in an effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. Ensures severity of illness and intensity of service criteria evaluations are completed on all patients to achieve efficiency, ensure cost-effective utilization of Hospital Resources and optimize financial performance. Collaborates with UM Medical Director and Vice President of Medicine. Develops and monitors Department Budget to achieve efficiency, cost containment and optimal financial performance and productivity Fulfills all compliance responsibilities related to the position3. Performs other duties as assignedOther information : Required : Bachelor's degree in Nursing and minimum of five years job-related experience. Master's degree in nursing or health management desired but not required. MSW consideredMinimum Experience : five years Desired : Registered Nurse with management experience. Knowledge of community resources, agencies, financial assistance programs / knowledge and / or experience in managed care plans. Excellent communications skills. Ability to collaborate with multidisciplinary groups and staff at all levels including community partners. Problem solving achieves specified goals and assists staff to critically think to reach optimum outcomes. Fosters teamwork and has the ability to integrate the Care Coordination Model and be a change agent. Must possess comprehensive knowledge of the healthcare Industry, familiarity with government regulations and possession of strategic planning skills.Location : Norwalk-34 Maple StWork Type : Full-TimeStandard Hours : 40.00Work Schedule : Day 8Work Shift : 8a-4 : 30pmOrg Unit : 374Department : Care Coordination-NHExempt : YesGrade : L2Salary Range : $49.7556 - $92.4018 HourlyEducation :

• Bachelor's Level DegreeEOE, including disability / vets.We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.

Salary : $50 - $92