Director, Case Management at Inova Health System

Leesburg, Virginia, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Sep, 26

Salary

0.0

Posted On

14 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Utilization Review, Discharge Planning, Budgeting, Staff Supervision, Denial Management, Quality Improvement, Reimbursement Management, Care Coordination, Strategic Development

Industry

Hospitals and Health Care

Description

The Director of Case Management leads and coordinates key strategic development and functional services to support department objectives and organizational goals. Maintains effective and responsive relationships with patients, attending medical staff and other departments. Manages department finances, including budgeting and control of salary, non-salary and capital investment expenses. Manages professional staff including day to day supervision, team member relations and staff development. Job Responsibilities: * Leads all utilization review, social work and discharge planning activities within assigned operating unit. * Oversees the day to day operation of all Case Management related activities to include the preparation, distribution and interpretation of monthly reports on productivity and Case Management targets. * Leads the management, measurement and continuous quality improvement of LOS, avoidable days and denial management. * Oversees the maintenance of Case Management database and use of Case Management software. * Responds promptly to requests from other departments within the operating unit and maintains cooperative relationships with corresponding departments at other operating units. * Ensures adherence to service excellence standards and the provision of outstanding service to internal/external customers. * Manages reimbursement and contract issues through collaboration with managed care contracting. * Selects, hires and trains staff to perform assigned functions at a competent level to include Case Managers and administrative staff. Minimum Requirements: Experience - Five years of experience in case management or acute care to include at least one year of management experience. Education - Bachelor's Degree Preferred Requirements: CCM/ACMA certification 2 years Progressive leadership experience in case management, utilization review, or care coordination within an acute care hospital setting We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Responsibilities

Leads and coordinates strategic development and functional services for case management, including utilization review and discharge planning. Manages department finances, professional staff supervision, and maintains relationships with medical staff and patients.