Director Case Management, Dayton Hospital, FT Days Job Listing at Kindred Hospital in Dayton, OH

Healthcare, Medical

Description IT'S SIMPLE. You want to work in a hospital setting where you are valued and appreciated - where you receive respect from your superiors and co-workers as well as the patients you treat. You want to be challenged by your job without being overwhelmed by it. You want to play an instrumental role in helping a patient recover, sometimes against strong odds, and go home. What you want is Kindred Healthcare. Our mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident, family member, customer, employee and shareholder we serve. Join us! You'll be responsible for case management, utilization review, discharge planning, and social services, as well as annual plans and budgets. Handle the financial resources of the patient and family, by coordinating the delivery of quality service. Manage relationships with the payers, physicians, hospital referral sources, and your case management staff. Help facilitate the discharge-planning process, and serve as an advocate for the patient and family. Work to ensure financial reimbursement of every individual case.

Responsibilities:

• Develop and implement the philosophies, policies, procedures and goals for the Case Management Department.
• Train and develop the Case Management staff and motivate them to accomplish department goals and objectives.
• Develop and oversee the annual Case Management budget.
• Prepare and evaluate monthly, quarterly and annual reports of the Department's functions.
• Provide information regarding changes in Medicare regulations and documentation issues to physicians and others as needed.
• Maintain Prospective Payment System, monthly case log and other files needed for peer review organization and specific needs of the hospital.
• Analyze physician utilization patterns, comparing to national and individual hospital standards. Communicate findings to Utilization Review and other appropriate individuals.
• Discuss denial of coverage related to Utilization Review with the Director of Quality Management. Assist with on-site monitoring reviews by PRO, Blue Cross, outside review organizations and third-party payers.
• Maintain a working relationship with local, state and federal agencies, recognizing the hospital's position in the community and its need for cooperation and assistance from such services.

Case Manager Director Case Management Director Director Case Management Registered Nurse