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Director of Case Management - 15K Sign On

Company: Kindred Hospitals
Location: Gardena
Posted on: September 21, 2022

Job Description:

At Kindred It Starts With Me. Our commitment is to deliver excellence and an empathetic human experience to every patient, every family member, every employee, every time. We do this through our Core Values which help in guiding our work every day. Kindred Hospital South Bay is a long-term acute care hospital offering the same in-depth care as a traditional hospital, but for an extended recovery period. Not far from highway 110, we are conveniently located near shopping malls, restaurants and Recreation Park.Job Summary: The Case Management Director directs the Case Management and Utilization Management activities in a Kindred hospital. Oversees the facilitation of care coordination of the patient and family through the management of quality clinical service delivery. Partners with external customers, referral sources and payors, to ensure the facilitation and coordination of the discharge planning process and serves as the patient and family advocate. Accountable for the facilities Denial Management Program. Ensures that case management services comply with the Conditions of Participation, Collaborates closely with the hospital CEO/Administrator, COO, CFO, CCO and Regional Office.Essential Functions: Oversees coordination of patient care to facilitate development, monitoring and refinement of treatment plan to achieve identified patient goals and outcomes. Assumes responsibility for ongoing, effective operations for Case Management. Supervises employees involved in concurrent and retrospective utilization review activities and the identification of discharge planning needs. Communicates effectively with nursing and other ancillary departments to ensure proper utilization and documentation. Provides mechanisms to monitor and enforce compliance with CM program. Ensures regular, complete and timely reporting of case management performance outcomes. Assures that the clinical programs are responsive to the needs of payors, patients and families. Represents and promotes Kindred Healthcare to the provider community and to local educational institutions when appropriate. Ensures the development of standards and case management practices are integrated and are consistent with current research, professional standards and regulatory requirements affecting patient care. Assures that the clinical programs are responsive to the needs of payors, patients and families. Designs, implements and monitors process to assure optimal utilization of resources and reimbursement. Participates as a management team member in the Utilization Management Committee Presents reports to Utilization Management Committee, Quality Council, Medical Executive Committee and Governing Board as required. Identifies opportunities to achieve average length of stay targets based on available comparative data and benchmarks. Aggregates and analyzes hospital utilization services statistics and recommends corrective action, if required. Ensures areas of responsibility are operating in compliance with CMS, State and JCAHO regulations and standards and with Kindred policies, including documentation and record requirements. Actively participates in surveys and audits. Qualifications Graduate of an accredited program required. RN or BSN preferred; OR Masters in Social Work with licensure as required by state regulations; OR Bachelors in Social Work with licensure as required by state regulations Healthcare professional licensure required as Registered Nurse, OR Licensed Clinical Social Worker (LCSW) OR Licensed Social Worker (LSW). Appropriate certification in Case Management preferred. Minimum three years experience in Hospital Case Management. Job Type: Full-timeBenefits: 401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Employee discount Health insurance Health savings account Life insurance Loan repayment program Paid time off Pet insurance Tuition reimbursement Vision insuranceSchedule: Day shiftSupplemental pay types: Bonus pay Signing bonus

Keywords: Kindred Hospitals, Gardena , Director of Case Management - 15K Sign On, Executive , Gardena, California

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