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Director of Case Management (RN) *Up to $125,000/YR*
232 E Main St
Ottumwa,
IA
52501
US
Posted: 03/07/2025
2025-03-07
2025-04-16
Employment Type:
Permanent
Job Category: Nursing
Job Number: 129822
Job Description
Director of Case Management
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Position Summary:
The Director of Case Management is responsible for overseeing and implementing the hospital’s case management program. This role ensures effective care facilitation, utilization management, case management, and discharge planning to optimize patient outcomes and resource utilization.
Supervises: Case Managers and Social Workers
Key Responsibilities:
- Provide leadership, education, and supervision for Case Managers and Social Workers, ensuring smooth day-to-day operations.
- Monitor department documentation to ensure compliance with regulatory standards.
- Collaborate with the Chief Financial Officer and Quality Department to develop and maintain quality improvement initiatives, including tracking avoidable days and readmissions.
- Maintain proficiency in case management and utilization review to provide coverage as needed across all hospital areas.
- Communicate with physicians regarding patient needs, treatment plans, and appropriate level-of-care and bed placement decisions.
- Manage personnel actions, including hiring, performance evaluations, scheduling, payroll, and timekeeping in KRONOS.
- Lead daily Multidisciplinary Rounds to coordinate holistic patient care across various disciplines.
- Participate in discharge planning, providing necessary education and resources to patients and families.
- Actively contribute to the Utilization Review and Revenue Cycle Committees.
- Ensure efficient and appropriate utilization of clinical resources based on patient acuity.
- Maintain compliance with all applicable regulations, including Joint Commission, CMS, state, and local agency laws, as well as internal policies and professional standards.
- Perform other duties as assigned.
Qualifications:
Knowledge, Skills & Abilities:
- Strong understanding of payer requirements and discharge planning regulations to support policy development.
- Knowledge of Medicare, managed care, inpatient and outpatient services, home health care, utilization management, case management, and discharge planning.
- Ability to collaborate with healthcare professionals across all levels to achieve department goals and improve patient outcomes.
- Experience with performance improvement concepts and strategies.
- Excellent communication skills, self-motivation, assertiveness, and the ability to work both independently and as part of a team.
- Proven ability to establish and maintain effective working relationships with physicians and healthcare staff.
Education & Experience:
- Graduate of an accredited Registered Nursing program.
- Bachelor of Science in Nursing (BSN) preferred.
- Minimum of two years of experience in case management, utilization management, discharge planning, or a cost/quality management program.
- At least two years of hospital-based nursing experience, with two to three years of prior management experience preferred.
Certifications & Licensure:
- Iowa Mandatory Reporter – Child and Dependent Adult Abuse Certification.
- Current RN license in the state of Iowa or a multistate license valid for Iowa practice.
This is an excellent opportunity for a leader passionate about case management and patient-centered care. If you are looking to make a meaningful impact in a dynamic healthcare setting, we encourage you to apply!
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About Ottumwa, IA
Ready to embark on an exciting career journey in Ottumwa, Iowa? Discover enticing job opportunities in this vibrant city nestled in Wapello County. Ottumwa boasts a friendly community, a rich cultural scene with the renowned Bridge View Center hosting various events, and a taste of Iowa's culinary delights at local eateries like Appanoose Rapids Brewing Company. Explore the Ottumwa Art Center or catch a show at the historic Ottumwa Civic Center Theater. With close proximity to stunning parks like Greater Ottumwa Park and opportunities for outdoor adventures along the Des Moines River, Ottumwa offers a charming backdrop for professional growth. Start your job search today and experience the enchanting blend of career possibilities, cultural experiences, and outdoor beauty that Ottumwa has to offer.
Director of Case Management (RN) *Up to $125,000/YR*
232 E Main St Ottumwa, IA 52501 US
Job Description
Director of Case Management
Â
Position Summary:
The Director of Case Management is responsible for overseeing and implementing the hospital’s case management program. This role ensures effective care facilitation, utilization management, case management, and discharge planning to optimize patient outcomes and resource utilization.
Supervises: Case Managers and Social Workers
Key Responsibilities:
- Provide leadership, education, and supervision for Case Managers and Social Workers, ensuring smooth day-to-day operations.
- Monitor department documentation to ensure compliance with regulatory standards.
- Collaborate with the Chief Financial Officer and Quality Department to develop and maintain quality improvement initiatives, including tracking avoidable days and readmissions.
- Maintain proficiency in case management and utilization review to provide coverage as needed across all hospital areas.
- Communicate with physicians regarding patient needs, treatment plans, and appropriate level-of-care and bed placement decisions.
- Manage personnel actions, including hiring, performance evaluations, scheduling, payroll, and timekeeping in KRONOS.
- Lead daily Multidisciplinary Rounds to coordinate holistic patient care across various disciplines.
- Participate in discharge planning, providing necessary education and resources to patients and families.
- Actively contribute to the Utilization Review and Revenue Cycle Committees.
- Ensure efficient and appropriate utilization of clinical resources based on patient acuity.
- Maintain compliance with all applicable regulations, including Joint Commission, CMS, state, and local agency laws, as well as internal policies and professional standards.
- Perform other duties as assigned.
Qualifications:
Knowledge, Skills & Abilities:
- Strong understanding of payer requirements and discharge planning regulations to support policy development.
- Knowledge of Medicare, managed care, inpatient and outpatient services, home health care, utilization management, case management, and discharge planning.
- Ability to collaborate with healthcare professionals across all levels to achieve department goals and improve patient outcomes.
- Experience with performance improvement concepts and strategies.
- Excellent communication skills, self-motivation, assertiveness, and the ability to work both independently and as part of a team.
- Proven ability to establish and maintain effective working relationships with physicians and healthcare staff.
Education & Experience:
- Graduate of an accredited Registered Nursing program.
- Bachelor of Science in Nursing (BSN) preferred.
- Minimum of two years of experience in case management, utilization management, discharge planning, or a cost/quality management program.
- At least two years of hospital-based nursing experience, with two to three years of prior management experience preferred.
Certifications & Licensure:
- Iowa Mandatory Reporter – Child and Dependent Adult Abuse Certification.
- Current RN license in the state of Iowa or a multistate license valid for Iowa practice.
This is an excellent opportunity for a leader passionate about case management and patient-centered care. If you are looking to make a meaningful impact in a dynamic healthcare setting, we encourage you to apply!
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