The client is seeking a Director of Case Management to oversee all Case Management functions in the Mid-Atlantic region. This role involves leading Utilization Management, Discharge Planning, Denials Management, Medical Necessity Denials, and Care Transitions to optimize patient outcomes and ensure compliance with regulatory requirements. The ideal candidate will have experience in handling appeals and denials, strategic thinking skills, and a commitment to fostering accountability among staff.
Candidates for this position should have a BSN or Social Work degree, with a preference for a Masters in a related field. The Director of Case Management will be responsible for developing care plans, managing complaints, and improving length of stay metrics. Strong teamwork skills are essential for success in this role, as well as a dedication to aligning services with best practices and hospital priorities.
This is an excellent opportunity for a motivated individual to advance their career in a dynamic organization. The Director of Case Management will play a crucial role in ensuring high-quality patient care and operational efficiency within the client's healthcare system.