Director of Case Management
Southwest Oregon

The Director of Case Management is responsible for planning, administering, directing and coordinating all services provided within the framework of Case Management. The Director of Case Management is responsible for the purpose of moving patients safely along the acute care continuum to the next appropriate lower level of care, in the most efficient and cost-effective manner possible, in compliance with the rules and regulations governing utilization of resources of Medicare/Medicaid/other government entitlement programs, insurance/managed care organizations, and various other programs/ resources, ensuring optimum health plan benefits for patients and providers. The Director is responsible for Utilization Review, Discharge Planning, Social Work, ED Case Management, Disability Liaison Services, Denial Management/Appeals.

Required Experience:

Acute Hospital Nursing Experience
•Utilization/case management Management performance with emphasis on program development and budget preparation
•Self-motivated and proficient in program development
•Ability to utilize data to identify trends and evaluate outcomes
•Excellent interpersonal, verbal, and written communication skills
•Ability to effectively interact with staff, patients, families, health-care team, revenue cycle departments, health plans, and community agencies
•Bachelor's degree in nursing, health care administration, business or allied health
• Registered Nurse (RN) licensed by Oregon State Board of Nursing

Preferred:

• Master's degree in healthcare management, business, nursing, or allied health field
• Certified Case Manager (CCM)
• Certified Professional Utilization Review (CPUR).

If this opportunity is of interest, please feel free to contact me at your earliest convenience. If there is someone that you know who may be interested in this opportunity, I would appreciate the referral. Thanks!

For all of our Case Management opportunities, visit our Case Management website at www.casemanagementrecruiter.com.

Michelle Boeckmann, VP of Recruitment
MBoeckmann@theclinicalrecruiter.com
Direct Dial 615-224-8405 | Toll Free 800-568-0828 ext. 109
Fax: 888-226-0953