Registered Nurse (RN) Director Case Management

Job Detail

Designation : Registered Nurse (RN) Director Case Management
Location : 8201 W Broward Blvd, Plantation, FL 33324
Salary :

Description

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Job Description:

Reporting to the Chief Financial Officer, this individual provides operational management, overall leadership and strategic planning for the Case Management / Utilization Management department, including pre-admissions review, utilization review, social services, and discharge planning.

Responsibilities include:

  • Overseeing department/program evaluation.
  • Prepare and monitor departmental budgets.
  • Ensure appropriate utilization of resources, facilities and services by reviewing admissions, duration of stay, professional services rendered for both inpatients and observation patients.
  • Develops and implements programs / activities to optimize patient length of stay, assures timely patient through-put and ensures appropriate discharge planning.
  • Provides departmental needs assessment; identifies goals, develops and implements action plans in order to achieve objectives.
  • Maintains current knowledge of governmental regulations, contractual issues and third party payor requirements – assures departmental compliance of same.
  • Oversees provision of direct clinical social services to areas of the Hospital served.
  • Identify patient discharge needs and work in collaboration with nurses and physicians in managing patient care need through the organization.
  • Supervise staff.

 


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Qualification / Requirements

  • Bachelor’s degree required, Master’s preferred
  • Current FL RN license
  • ACM/CCM preferred
  • 5+ years case management/utilization management and/or discharge planning experience in an acute hospital setting
  • Knowledge of managed care and capitation
  • 2+ years in a Director/Manager role over Case Management/Utilization Review strongly preferred

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