What are the responsibilities and job description for the Director of Case Management position at Top Tier Reps LLC?
Director of Case Management - Hickory, North Carolina
Onsite
No visa sponsorship
Salary - 110k to 150k
Benefits - Wide range of benefits options!
● Choose your own medical, dental, and vision plans from a variety of competitive options that best fit 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, providing emotional, legal, financial, and daily life support for your entire household. Services available 24/7.
● Free travel and entertainment discount program to enjoy time away from work.
Our client, a prestigious hospital, is seeking a Director of Case Management. This role is pivotal in overseeing the Case Management unit, which encompasses clinical resource management, discharge planning, patient advocacy, clinical social work, and medical necessity assessments. The Director is responsible for implementing and achieving the outcomes specified in the initial Utilization Review Plan, focusing on resource utilization, appropriateness of care, and adherence to the designated Geometric Length of Stay (GLOS) for each patient.
Essential Functions:
● Develop and implement department goals, plans, and standards, ensuring alignment with clinical, administrative, legal, and ethical requirements.
● Oversee department operations, including patient care delivery, information technologies, service level determination, and complaint management to meet performance and quality control objectives.
● Manage staffing activities such as hiring, training, evaluating, and conducting disciplinary actions, while fostering continuous education.
● Manage departmental budgets, ensure compliance with allocated funding, and oversee internal/external audits.
● Promote a professional growth environment and integrate evidence-based practices into operations and clinical protocols.
● Provide direction and management for planning, organizing, and directing activities, as well as performance improvement in clinical services delivery and necessary reporting within the hospital and to government and regulatory bodies.
Minimum Education and Certifications:
● Associate’s Degree in Nursing required.
● Bachelor’s or Master’s Degree in Nursing or related field preferred.
● Current RN license to practice in NC.
Experience:
● At least 3 years of management experience.
This role is critical for ensuring the effective management and operational efficiency of the Case Management unit, supporting the hospital’s commitment to high-quality patient care.
Salary : $110,000 - $150,000
