Case Management Director – CA

Apply for: Case Management Director

400+acute care hospital is looking for a Case Management Director! This position is responsible for managing the utilization of resources and discharge process of all inpatients as well as selected outpatients for effective and proper utilization of beds and services to ensure quality while maximizing reimbursement. The position is responsible for the ongoing operations, short and long term planning, and development and articulation of the vision of the service. The Director is responsible for development, management and utilization of financial, material, and human resources; strategic planning; and integrated program development within the service. This position is also responsible to oversee the operations of the Social Services department, Clinical Documentation Specialists, and the Bundled Payment Care Initiative (BPCI) program.


Bachelor’s Degree

Position Reports To:
Chief Operating Officer, Executive Management
Position Requirements:
1. Bachelors Degree in a related field is required. Masters Degree in related field is preferred. 2. Current licensure as a Registered Nurse in the State of California is required. 3. At least five years recent clinical experience in an acute care setting is required. 4. At least five years utilization review, discharge planning and/or case management experience is required. 5. Knowledge and/or familiarity with utilization review processes and guidelines, community resources, outside professional agencies, federal and state regulations governing hospital and home care as well as understanding the financial structure of health plans and delivery systems is strongly preferred. 6. Current American Heart Association (AHA) Healthcare Provider CPR card is required.


Tina Roberts, President
588 Sutter Street, Suite 349
San Francisco, CA 94102
(415) 770-1200

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Posted in Apply for Job
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