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Position: Director of Case Management (BSN, RN, ACM or FAACM) or (LCSW or LMSW, CCM)

Location: Pearland, TX (Greater Houston)

Must Haves:

Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid Texas license as a Masters Social Worker (LMSW) required.
LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM), or Fellowship of the American Academy of Case Management (FAACM) required.
Minimum five (5) years of experience in utilization management, case management, discharge planning, or other cost/quality management programs.
Three (3) years of experience in hospital-based nursing or social work preferred.
Five (5) years of supervisory experience.

Nice to Haves:
Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management

Job Description:

The Director of Case Management is responsible and accountable for the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management, and Discharge Planning.

The Director is responsible for developing systems and processes for care/utilization management and discharge planning at the hospital level. In addition, the Director may be responsible for managing the departments activities related to discharge planning and clinical quality improvement. The Director evaluates and ensures that hospital resources are used appropriately and effectively. The Director oversees the collection, analysis, and reporting of financial and quality data related to utilization management, quality improvement, and performance improvement. The Director promotes interdisciplinary collaboration, fosters teamwork, and champions service excellence.

Minimum Qualifications:

Education: Bachelor of Nursing (BSN) or Masters Social Work (MSW); Masters degree preferred.

Licenses/Certifications:

Current and valid license to practice as a Registered Nurse in the state of Texas or;
Current and valid Texas license as a Masters Social Worker (LMSW), required.
LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM) or;
Fellowship of the American Academy of Case Management (FAACM), required.

Experience / Knowledge / Skills:

Minimum five (5) years experience in utilization management, case management, discharge planning, or other cost/quality management programs.
Three (3) years of experience in hospital-based nursing or social work preferred.
5 years of supervisory experience.
Self-motivated, proven communication skills, assertive.
Background in business planning, and targeted outcomes.
Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management.
Working knowledge of the concepts associated with Performance Improvement
Demonstrated effective working relationships with physicians.
Ability to work collaboratively with healthcare professionals at all levels to achieve established goals and improve quality outcomes.
Effective oral and written communication skills.

Principal Accountabilities:

Plans, directs, and supervises all aspects of the local level program.
Facilitates growth and development of the case management program consistent with enterprise-wide philosophy and in response to the dynamic nature of the healthcare environment through benchmarking for best practices, networking, quality management, and other activities as needed.
Responsible for approving and managing the day-to-day local-level operational budget.
Assures that revenue, expenses, contribution margin, and FTEs meet or exceed budget.
Prepares and submits budget and related reports.
Forecasts and accurately projects expenses.
Takes corrective action to address negative variances.
Identifies and proposes capital budget items appropriately.
Identifies and achieves optimal targeted financial outcomes via the inpatient case management process.
Responsible for departmental personnel functions (hiring, firing, etc.) in conjunction with the Executive Director of Medical Management.
Writes and conducts annual and interim performance appraisal reviews for the professional and non-professional staff in the department.
Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.)
Responsible for leading a high-performance team of system thinkers who incorporate leadership principles and vision in performing the functions of case management.
Uses data to drive decisions, plan, and implement performance improvement strategies for case management.
Oversees the education of physicians, managers, staff, patients, and families related to the case management process at the local level.
Participates in this evolutionary process by constantly identifying the future needs of current customers and/or identifying potential new customers.
Ensures safe care to patients, staff, and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals that contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermanns service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
Other duties as assigned.

Compensation:

Base compensation will be commensurate with the experience and skill set of the candidate.
Full Relocation.

Benefits:

Dental Insurance
Medical Insurance
Vision Insurance
Life Insurance
Retirement
Equity
Work from Home
Paid Time Off
Other

About Guice Smith & Associates:

Guice Smith & Associates has extensive experience in executive search. Our rigorous executive search process ensures you see the best candidates to fill your critical leadership gaps. The entire executive search process is managed privately and securely by your expert, dedicated, personal retained executive search consultant. A national executive search firm, Guice Smith & Associates consistently delivers best-matched, highest-quality candidates for companies, consulting and professional service firms, ministries and not-for-profits. Our industries served include, but are not limited to, life sciences, hospital and healthcare management companies, manufacturing, financial services, construction, technology and accounting, tax and consulting. Within your organization we can help you recruit in the C-Suite, Operations, Sales and Marketing, Accounting, Finance and Sales. With a combined 237 years of consistent and professional service, youll find a team of search experts at GS&A that partner with you for success. Feel free to give us a call at 228-697-6618 or send an email about an opportunity listed to: jon@guicesmith.com

Guice Smith & Associates

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