- Title: Director of Case Management
- Location: Lawton, OK 73505
- Minimum 5 years of experience in case management, discharge planning, and/or utilization review in an acute care setting.
- Minimum 3 years of Director experience at an acute care facility.
- RN compact or Oklahoma state license.
- Certification in Case Management or Utilization Review.
- Oversight of the Facility's Case Management team to ensure compliance with standards of practice and regulatory requirements.
- Develop and foster effective collaboration between Case Management Departments, Medical Staff, corporate and facility leaders.
- Work closely with providers and internal/external physician advisors for utilization review and management activities.
- Coordinate all UM Committee activities and ensure compliance with meeting frequency and documentation.
- Collaborate with Revenue Cycle teams and participate in medical necessity audits and denials.
- Participate in appeals processes and work collaboratively with vendors.
- Analyze length of stay and readmissions data, incorporating measures to ensure goals are met.
- Introduce evidence-based practices to improve case management and transitions.
- Conduct regular staff meetings to review regulatory requirements and provide general training for staff.
- Oklahoma RN
- Certification in Case Management or Utilization Review preferred.
- BSN preferred; Registered nurse is required.
- Demonstrated leadership and complex organizational management skills.
- Excellent problem-solving, team-building, and organizational skills.
- Familiarity with Federal and State regulations related to case management discharge planning.
- Knowledge of integrated discharge planning practices and resources.
- Familiarity with RACs, MACs, and the Medicare appeals process.
- Ability to work with Administration, Physicians, and staff in multiple settings.
- Ability to compile reports, interpret data, and prepare/administer presentations.
- Ability to interpret and apply InterQual criteria.
- A minimum of 5 years of experience in case management, discharge planning, and/or utilization review in an inpatient acute care setting. Strong clinical background preferred.
Screening Questions:
- Tell me why this opportunity is a great fit for you?
- Describe your leadership style?
- Initial screen from Danielle.
- Recruiter will review and may screen the candidate or send directly to the hiring manager for an interview.
- On-Site Panel Interview.
Thank you for your immediate attention to this matter.
Director of Case Management in lawton at Unknown Company
This position is listed as full time and onsite.