RN Case Management Director Job Opening in California

RN Case Management Director job opening located in California.

RN Case Management Director career opportunity in the Sacramento CA market. 

200+bed acute hospital.

Competitive salary plus bonus!

Location: Sacramento CA area

Position overview:Direct function and personnel of the care management department. Develops, manages, and oversees the annual care management budget. Prepares and evaluates monthly, quarterly, and annual reports of the department’s functions. Monitors and reports on changes in Medicare regulations and documentation issues to physicians and others as needed. Maintains relationships and contractual oversight with key stakeholders, local, state, and federal agencies.

Essential Functions

• Develops the care management team and motivates them to accomplish department goals and objectives.
• Develops, manages, and oversees the annual care management budget. Prepares and evaluates monthly, quarterly, and annual reports of the department’s functions.
• Provides information regarding changes in Medicare regulations and documentation issues to physicians and others as needed. Analyzes and monitors utilization metrics and communicates findings as appropriate.
• Oversees accountability for on-site monitoring reviews by outside review organizations and third-party payers.
• Maintains relationships and contractual oversight with key stakeholders, onsite and enterprise-wide, including education and monitoring of utilization patterns. Maintains working relationships with local, state, and federal agencies.
• Performs other job-related duties as assigned.

Qualifications:

• Bachelor’s Degree or equivalent combination of education/related experience: Required
• Master’s Degree: Preferred

Work Experience

• Seven years hospital discharge planning, utilization review, case management and social work experience: Preferred
• Five years leadership experience: Preferred

Required Licenses/Certifications

Registered Nurse (RN) CA – State Board: Required

Competitive Salary Range!

How to apply for the RN Case Management Director Job: contact tinaroberts@contactjc.com or tinaroberts@toprecruiterweb.onmicrosoft.com