Regional Director Care Management

• Bachelor’s degree required
• Registered Nurse required
• Director of Case Management experience in an acute hospital required
• ACMA or CCM preferred
• Bachelor’s Degree in Nursing preferred
• Multi-Campus Director of Case Management preferred

• Executes on the strategic plan and provides subject matter expertise for Case Management regulations and standards
• Ensures compliance with all state and federal regulations
• Ensures effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient throughput
• Includes integration of national standards for Case Management scope of services, including Utilization Management
• Supports medical necessity and denial prevention, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction
• Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and of the appropriate level
• Serves as an information resource, and collaborates with other departments and outside sources

Healthcare Recruitment Partners