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DIRECTOR OF CASE MANGEMENT

Los Angeles, CA
DIRECTOR, CASE MANAGEMENT
LOCATION: Los Angeles, CA
FACILITY: Physician-owned heart hospital
SSIZE: 45+ Beds
DESCRIPTION:

The Director of Case Management is a working case manager who is responsible for the development of staff and systems to effectively operate a comprehensive Case Management/Utilization Review plan. This position is responsible for managing the utilization of resources and discharge process of all inpatients.
  • Provides leadership and supervision to case managers, clinical documentation specialists, social worker(s) and case management admin.
  • Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs.
  • Integrates and coordinates services using continuous quality improvement tools.
  • Maintains continuity and coordination of all the various disciplines involved throughout the patient’s continuum of care including readmission.
  • Provides education to staff/physicians/patients/families related to implementation of case management initiatives.
  • Provides leadership for the Utilization Review Committee and processes, including active collaboration with the CM/UR Physician Advisor.
  • Provides expertise and oversight in complex patient appeals and denials. Maintains and enhances relationships with referral and payor sources and assures quality care/outcomes while complying with various third party guidelines.
  • Provides a positive role model of customer relations.

EDUCATION AND EXPERIENCE:
  • Education: 
    • Graduation from a program of nursing required. BSN preferred.
  • Licensure/Certification: 
    • Current state Registered Nurse license or licensure from a state within the Nursing Compact.
  • Experience: 
    • Minimum of three (3) years clinical experience.
    • Cardiovascular nursing experience preferred.
    • Two years of case management experience preferred
SALARY: $130K + RELO + BONUS

CONTACT: Joan Hutton, President/CEO
The Hutton Group, Inc.
772-770-1787

hutton@huttongrouphc.com
​www.huttongrouphc.com




 
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