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Interim Director of Case Management

Warbird Healthcare Advisors
Lima, OH Temporary
POSTED ON 1/20/2025
AVAILABLE BEFORE 4/20/2025

Warbird Healthcare Advisors actively seeks experienced consultants to be considered for an Interim Director, Case Management role with a health system in Ohio. The successful candidate will provide overall direction for the clinical care coordination program which includes the coordination, negotiation, and procurement of care of patients to achieve quality and cost-effective patient outcomes throughout the continuum of care of the patient which includes all health care settings from acute inpatient treatment through follow up in the office, chronic disease management and preventative care.

Location : Onsite (Ohio)

KEY RESPONSIBILITIES

  • The Director has accountability for the management of human, fiscal, and physical / material resources of the Case Management department and is responsible for budgeting, quality control, and oversight of those who provide case management and discharge planning services.
  • Ensures that initiatives are in place to assure that quality, cost containment, patient and physician satisfaction, and associate engagement goals are met facilitates the performance improvement process to improve care transitions, reduce readmissions, improve throughput and maintain high levels of professional practice; and integrates the findings into interdisciplinary hospital activities to effect change.
  • Collaborates with other disciplines in case review to identify opportunities for improving patient care outcomes, reduction of future risk, and enhancing customer satisfaction.
  • Provides resource and consultation to senior leadership regarding care coordination and regulatory standards.
  • Promotes innovation, team building, and processes that enhance work environment. This position utilizes and disseminates research and best practices recommendations to enhance evidence-based practice and autonomous decision making. Upon approval, the Director implements, monitors and measures both clinical and financial success.
  • Serves as a resource to staff, and interpreting philosophy, goals, standards, policies and procedures.
  • Collaborates with other leaders to create and implement an operational plan that is in alignment with system’s strategic plan.

QUALIFICATIONS & EXPERIENCE

  • Education : Must have a BSN. A master’s degree is preferred.
  • Licensure / Certification : A valid, unrestricted RN license from the Ohio Board of Nursing is required. BCLS and ACLS is required prior to employment. PALS and TNCC certification are required within six (6) months of employment. CEN is preferred.
  • Experience : Minimum of five (5) years of experience in case management, discharge planning or other cost / quality management program is required. Minimum of three years’ experience in hospital clinical role required. Previous supervisory / management experience is strongly preferred.
  • Skills : Must have strong critical thinking, negotiation, and analytical skills and an extensive knowledge of third-party payer systems as well as regulations related to patient placement in all levels of care. Knowledge of leading practice in clinical care and payer requirements; strong analytical, data management and PC skills; excellent communication skills, and the demonstrated ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes are required. Must also be self-motivated and demonstrate the ability to work both independently and as part of an interdisciplinary team.
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