Director-Case Management

Summary Apply online or contact [email protected] for more details. Directs the activities, procedures and workflow of the department and serves as a resource for colleagues. Coordinates training for the department and serves as a liaison with other departments and services, physicians, payors and vendors. Provides Case Management coverage and assists with documentation assurance, utilization review functions, discharge planning and quality management monitoring. Provides oversight and leadership within assigned area of responsibility. Assists in the management of the overall operational, budgetary, and financial responsibilities and activities. Plans and implements systems that accomplish work objectives and fulfill the mission and goals efficiently and effectively. Plans and allocates resources to effectively staff department and meet productivity and quality goals. Plans, evaluates, and improves the efficiency of processes and procedures to enhance speed, quality, efficiency, and output. Formulates business decisions that are financially responsible, accountable, justifiable, and defensible in accordance with organization policies and procedures. Establishes and maintains relevant controls and feedback systems to monitor the operation of the department. Reviews performance data that includes quality, satisfaction, engagement, and financial reports. Monitors and measures productivity, goal achievement, and overall effectiveness. Participates in the preparation and maintenance of reports necessary to carry out the functions of the area of responsibility. Prepares periodic reports for management to track goal accomplishment. Leads colleagues using performance management and development process. Qualifications Education Bachelor of Science in nursing or health related field is required. In lieu of degree, may consider a candidate with an associate's degree in nursing AND 10+ years of experience in case management, utilization review or related experience. Master of Science in nursing preferred. Knowledge of Medical Staff rules and regulations, reimbursement methodologies, prospective payment regulations, and third-party payor utilization requirements required. Knowledge of medical record management, coding, and finance desirable. Experience 5 years of related experience is required. 3 years of leadership experience is required. Certifications, Licenses and Registrations Licensed in the state of practice is required. Overview Throughout communities in Illinois and Wisconsin, 15 hospitals, numerous community-based health centers and clinics, our 15,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day. Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments. Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient. HSHS and affiliates is an Equal Opportunity Employer (EOE). Benefits HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health. Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS benefits. Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues. Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need. Retirement benefits including HSHS contributions. Education Assistance benefits include up to $4,000 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period. Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more! Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!