Thursday, January 16, 2020

Director of Case Management (JO#24553)

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Come join a progressive 500+ bed hospital as Director of Case Management in beautiful Texas.  Texas offers a tremendous quality of life with a wonderful climate, low cost of living, NO State Income Tax, and is a great place to call home!!  

  • Master's Degree in Nursing required
  • Excellent interpersonal skills applicable to the medical staff, administration, professional staff and outside reviewing agencies
  • Strong organizational and written communication skills
  • Self motivated, self-disciplined and holds self accountable for achieving goals and tactics in a timely manner.
  • Demonstrated hands-on leadership and operational responsibility in a large/complex healthcare environment.
  • Possesses strong personnel management and team building skills that result in a high performing team and excellent Associate job satisfaction.
  • Ability to successfully apply new learning to achieve expected outcomes.
  • Demonstrated excellence in negotiation, facilitation, influencing and collaboration skills.
  • Demonstrated understanding of financial operations and ability to meet/exceed expectations on an ongoing basis.
  • Four years of actual hospital based work experience in case management/utilization review
  • 2 years Leadership/Management/Supervisory experience
  • Knowledge of risk management and related issues
  • Understanding of credentialing process
  • Knowledge of current bylaws and regulations governing System facilities
  • Knowledge of current Federal regulations, PRO guidelines, sanction procedures, memorandums of understanding and JCAHO
  • Understanding of medical-legal aspects of Performance Improvement
  • Knowledge of clinical conditions, criteria and appropriate treatment plans provided to patients
  • Knowledge of insurance utilization review standards
  • Demonstrated facilitation skills with a working knowledge of CQI tools and techniques.
  • Must be able to implement change
  • Valid Texas Nursing License

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