Director Case Management

Our client began serving residents of the San Ramon Valley and its surrounding communities in 1991. Located on a hillside overlooking the valley, they are a 120-bed, acute-care hospital, primary stroke center, and a cardiac heart surgery hospital. This Medical Center provides comprehensive inpatient and outpatient services.

Position; Director Case Management, San Ramon, CA

The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.

This position integrates national standards for case management scope of services including:

Utilization Management supporting medical necessity and denial prevention

Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction

Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care

Compliance with state and federal regulatory requirements, TJC accreditation standards.

Requirements

Required: Bachelor degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW.

Preferred: MSN, MBA, MSW or MHA.

Required: 3 years of acute hospital case management or healthcare leadership experience.

Preferred: 5 years of acute hospital case management leadership multi-site experience

Benefits

Salary + Relocation + 401k + Benefits, etc...