Director of Case Management-Performance Improvement

Director of Case Management-Performance ImprovementPOSITION LOCATION:
Live near any major airportPOSITION DESCRIPTION:
Under the direction of the Sr.
Director Case Management PMI, the Director of Operations is responsible to develop and implement case management best practices in the assigned region to achieve organizational goals through standardized processes.
Responsibilities include redesigning work to improve quality, service and throughput while achieving cost efficiency and improving productivity in high volume, high cost areas of assigned hospitals.
The Senior Specialist will assure processes are in place to comply with medical necessity requirements, optimize throughput, mitigate payer denials and improve hospital utilization performance.
Participates as a member of the PMI consultative team taking a leading role in the conception, issue identification, hypothesis formation, planning and conducting interviews as well as research, analysis and writing custom roadmaps and action plans in collaboration with hospital managers.
Oversees the implementation of action plans and monitors progress toward goals assisting with addressing barriers and challenges and making adjustments as needed.
Assists in recruiting and orienting hospital case management leaders and collaborates with Case Management Education Manager to provide education and tools for ongoing Case Management leadership development.
REQUIRES Nursing Credential (RN, BSN, MSN)Advanced degree in Nursing, Business and/or Health Care Administration or equivalent experience requiredA minimum of 7 years case management leadership experience in an acute setting and consultant experience preferredSix Sigma Black Belt and change management experience preferred.
Case management certification Accredited Case Manager (ACM) preferred.
Case management certification in InterQual training (IQCI) and hospital case management (ACM) preferred

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