<strong>Case Manager Manager / Director</strong><br /> <br /> 3976 Care Management Director 0800 -1630 40 hours Lodi Memorial location RN 5-10 Case mgmt experience care management certification preferred (ACMA or equivalent) Demonstrated track record in outcomes (LOS and denial reduction) Lodi<br /> Director Case Management #79474<br /> JOB SUMMARY<br /> Oversees the activities and functions of the case management department to ensure efficient and cost-effective case management is achieved. Develops and maintains quality-improvement programs collaborateswith physicians and medical staff to ensure service expectations are being met. Ensures effective utilization ofhospital resources appropriate reimbursement for services rendered and supports efficient patientthroughput. Directs the workflow of other case managers and develops department policies and procedures.<br /> Function: Clinical Support<br /> Family: Care Management<br /> Level: Director<br /> FLSA: Exempt<br /> JOB REQUIREMENTS<br /> Minimum Education<br /> Bachelors Degree or equivalent combination of education/related experience: Required<br /> Master's Degree: Preferred<br /> Minimum Work Experience<br /> Seven years' experience: Preferred<br /> Five years' leadership experience: Preferred<br /> Required Licenses<br /> Other<br /> Registered Nurse (RN) licensure in the state of practice: Required<br /> Case Management certification: Required<br /> Refer to the Required Licenses and Certifications list for additional job and/or unit specific requirements.<br /> Required Skills<br /> Refer to Job Analysis #05A for details regarding additional ability requirements.<br /> ORGANIZATIONAL EXPECTATIONS<br /> Adheres to the Adventist Health Mission Vision and Values statements. Complies with behavioral standardspolicies procedures and handbooks established by the organization and their respective ministries. Abides bythe guiding principles of the Code of Conduct.<br /> Job Description Report<br /> REPORT GENERATED: FEBRUARY 16 2022 1:22 PM<br /> 2/16/22 1:22 PM Job Description Report<br /> https://www.healthstream.com/HLC/Common/HAC/JobDescriptionPreview.aspxjdId=ea83a002-c9c7-e611-b203-005056b1594f&jdVersion=1&externa 2/2<br /> ESSENTIAL FUNCTIONS<br /> Directs coordinates and monitors the activities functions and performance of care coordination to ensure ahigh level of quality case management and cost effectiveness.<br /> Designs implements and monitors systems for effective pre-admission screening admission monitoringconcurrent and retrospective utilization review discharge planning and social work.<br /> Develops and monitors an environment that supports experience in personalized patient case managementservices by leading and directing implementation of the efficient movement of the patient through thecontinuum of care utilization case management principals of care coordination transition planning andutilization management.<br /> Acts as a resource who provides interpretation expertise and advise regarding case management issues forpatients legal and federal and state regulations.<br /> Works within broad guidelines applies advanced technical knowledge of multiple departments to solvecomplex problems which may have long-term impact on the Shift Info: Day 5x8-Hour (08:00 - 16:30)