Case Management Director
Also referred to as: Case Management Director, Director of Case Management
Requirements and Responsibilities
Oversees a staff of case managers responsible for patient care coordination. Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation. Evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Seeks treatments that balance clinical and financial concerns with the family's needs and the patient's quality of life. Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care. Typically requires a bachelor's degree. Typically reports to top management. May require Registered Nurse (RN). Typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. Typically requires 3+ years of managerial experience.

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Similar Jobs:  Risk Management Director, Account Management Director, Data Management Director, Program Management Office Director, Product/Brand Management Director, Disease Management Case Manager, Project Management Director, Behavioral Health Case Management Manager, Equipment Director
Level of Education:  Case Management Director Salaries with a High School Diploma or Technical Certificate, Case Management Director Salaries with an Associate's Degree, Case Management Director Salaries with a Bachelor's Degree, Case Management Director Salaries with a Master's Degree or MBA, Case Management Director Salaries with a JD, MD, PhD or Equivalent
Categories:  Healthcare -- Administrative
Industries:  Edu., Gov't. & Nonprofit, Healthcare, Insurance,
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