2017-12-01

Director of Case Management
Job Opportunity at Surf Search

Posted on Dec 1

http://www.surfsearch.org    858-876.8801

Location: Tacoma, WA
Job Type: Full Time
Job ID: W4141499

Director of Case Management

A rapidly growing integrated healthcare provider seeks a Director of Case Management .  The ideal candidate will possess 8+ years of clinical nursing experience and 2+ years experience managing a clinical case management or care management teams. The Director of Case Management will lead a team of RN case managers and care coordinators.

Requirements of the Director of Case Management:

  • Bachelor's degree, preferably BSN
  • 8+ years of clinical nursing experience
  • 2+ years experience managing a clinical case management or care management team
  • Current RN license in the state of Washington or the ability to gain one
  • Case Management training, certification strongly preferred
  • Experience in a managed care environment ie HMO - IPA strongly preferred
  • Knowledge of community resources, long-term care options, and cost-effective alternatives for patient care
  • Knowledge of, clinical standards of care, NCQA requirements, CMS guidelines, and Medicaid/Medicare contracts and benefit systems strongly preferred
  • Knowledge of CPT, ICD-9 and HCPCS codes
  • Working knowledge of Windows and Microsoft Office
  • Strong leadership skills and a track record of accomplishment leading clinical care teams

Responsibilities of the Director of Case Management:

  • Collaborate with medical and professional staff of other departments to plan/coordinate joint patient and management objectives.
  • Ensure optimal allocation of staff to workload ratios, to meet budgetary goals/objectives.
  • Prepare department budget to ensure operational costs are within organizational goals.
  • Coordinates departmental projects and instructs staff in the development and implementation of new test capabilities.
  • Ensure departmental compliance and maintains a quality control program to comply with organizational, departmental specific policies/procedures, safety and health standards, and state/federal regulations and accrediting agencies.
  • Perform other Director of Clinical Services duties as required in a competent, professional and courteous manner.
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