Case Management Director II
Company: HealthSouth
Location: Prosper
Posted on: May 8, 2024
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Job Description:
As a member of Senior Leadership, the -Director of Case
Management (DCM) is responsible for the day to day operations and
human resource management of the department of Case Management.
With a central focus on census management, patient care outcomes,
and key care indicators, the DCM oversees the interdisciplinary
plan of care and the discharge planning process to ensure the
effectiveness and appropriateness of services. The DCM is a patient
and family advocate to ensure that services are delivered to meet
the needs of patients and their families, and that the utilization
of resources is appropriate.
RESPONSIBILITIES AND TASKS
- - - Performs all duties and responsibilities of a Case Manager
during case management services.
- - - Assigns patient caseload to department members and self for
optimal service delivery.
- - - Coordinates/communicates effectively with administration,
medical staff, and interdisciplinary team.
- - - - - Participates, as appropriate, in developing managed care
strategies and plans for the hospital.
- - - - - Consults on service delivery, financial management, and
discharge planning processes.
- - - - - Oversees team conference process and educates staff in
facilitation and reporting.
- - - - - Leads daily case management operations meetings.
- - - - - Represents department in hospital operations.
- - - Analyzes reports from systems such as PATCOM, UDS, and Press
Ganey.
- - - Implements- and educates case managers on- effective
continuum of care and community resources.
- - - Provides appropriate training, education, and management to
the department of Case Management.
- - - - - Trains Case Managers on managing caseloads and
interpreting regulations, policies, operational procedures and
objectives.
- - - - - Reviews operations in assigned area to ensure a high
level of quality that is consistent with organizational
standards.
- - - Completes special projects and other duties as requested to
support needs of organization.
- - - Coordinates and participates in hospital utilization review
process.
- - - - - Performs case management analysis.
- - - - - Oversees concurrent review functions with appropriate
follow-up action plan and intervention.
- - - Ensures compliance with CMS regulations and Conditions of
Participations for discharge planning.
- - - Manages core staffing plan and employs flexible staffing plan
as necessary.
- - - Builds relationships as defined through targeted goals of the
business plan.
- - - - - Networks with insurance companies, self-insured
employers, case management firms, and/or other health care
networks.
- - - Acts as a resource for case managers and other team
members.
- - - Coordinates with other department managers to direct quality
of care delivery.
- - - Completes mandatory training and courses required by
completion date.
- - - Participates in administrative on-call schedule and
coordinates case management on-call schedule.
Keywords: HealthSouth, North Richland Hills , Case Management Director II, Executive , Prosper, Texas
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