Director of Case Management
Company: Kindred Healthcare
Posted on: November 22, 2022
$15,000 Sign on Bonus.
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.
Job Summary: The Director of Case Management 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 serve as the patient and family
advocate. Accountable for the facility's 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 District Office.
Oversees coordination of patient care to facilitate development,
monitoring and refinement of treatment plan.
Assumes responsibility for ongoing effective operations of the Case
Ensures regular, complete and timely reporting of case management
Represents and promotes Kindred Hospitals to the provider community
and to local educational institutions when appropriate.
Implements and monitors process to assure optimal utilization of
resources and reimbursement.
Participates as a management team member in the Utilization
Management Committee and serves on other committees as required and
Identifies opportunities to achieve hospital goals 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.
Graduate of an accredited program required:
RN or BSN preferred; or Masters of Social Work with licensure as
required by state regulations; or Master's degree in healthcare
administration, business administration, or clinical specialty
Healthcare professional licensure required as Registered Nurse,
Licensed Clinical Social Worker (LCSW),or Licensed Social Worker
(LSW), as required by state.
Certification in Case Management preferred.
Minimum three years' experience in Hospital Case Management.
Keywords: Kindred Healthcare, Gardena , Director of Case Management, Executive , Gardena, California
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