Job Description

1. Leadership and Team Management:

   • Provide strategic direction and leadership to the case management department, ensuring the delivery of high-quality, patient-centered care.
   • Supervise and mentor a team of case managers, ensuring appropriate caseload distribution, adherence to best practices, and professional development opportunities.
   • Foster a collaborative and supportive work environment that encourages teamwork, open communication, and continuous improvement.

2. Program Development and Implementation:

   • Develop and implement case management policies, procedures, and protocols in compliance with regulatory requirements and industry standards.
   • Identify opportunities for program enhancement, expansion, and optimization to enhance patient care coordination, improve outcomes, and control healthcare costs.
   • Collaborate with interdisciplinary teams to integrate case management services into patient care plans and ensure smooth transitions across healthcare settings.

3. Quality Improvement:

   • Establish and monitor quality metrics and performance indicators to assess the effectiveness and efficiency of case management interventions.
   • Analyze data and trends to identify areas for improvement and develop strategies to enhance patient outcomes, reduce readmissions, and minimize variations in care.
   • Lead quality improvement initiatives, promoting evidence-based practices and best-in-class care delivery models.

4. Patient Advocacy and Education:

   • Advocate for patients and their families, ensuring their needs, preferences, and rights are respected throughout the care continuum.
   • Provide education and resources to patients, families, and staff on case management principles, care transitions, and available community resources.
   • Collaborate with community organizations and healthcare providers to promote seamless care coordination and access to appropriate services.

5. Collaboration and Communication:

   • Foster strong relationships and effective communication channels with key stakeholders, including physicians, nursing staff, ancillary departments, and external partners.
   • Collaborate with finance and revenue cycle teams to ensure accurate and timely documentation, coding, and billing of case management services.
   • Represent the organization in professional associations, committees, and conferences to stay abreast of industry trends and contribute to the advancement of case management practices.

• Certified in nursing specialty or case management