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Subject: Director of Case Management - Bremerton, WA

Jason Kelsey posted a job: Director of Case Management - Bremerton, WA

"Are you a good fit for this job? Director of Case Management - Bremerton, WA in Bremerton, WA We need an RN with strong Case Management and leadership in that role. The Case Manager Director is responsible for Utilization Review, Discharge Planning, Care Coordination, and Social Service Functions. Clinical Documentation also reports to this position. POSITION SUMMARY: Directs, establishes and plans the overall policies and goals for the Case Management Department, including operational supervision of all utilization management and social work functions. Supports Utilization Management Committee in its activities and ensures staff is skilled in applying standard hospital guidelines utilized by payors (InterQual, Milliman). Duties include: planning and goal setting for department; clinical supervision and personnel management; implement quality improvement; interdisciplinary, community and provider relations; financial management, policy and procedure development and professional staff orientation and development. The director oversees the day-to-day clinical and financial operations of the Case Management department, leading the growth and development of programs and services that ensure the needs of patients are met across the continuum of care. Provides organization-wide leadership for Case Management operations including Case Management, Utilization Review, and Discharge Planning. KNOWLEDGE/SKILLS/ABILITIES * Knowledge of utilization management activities including application of criteria (InterQual/Milliman). * Knowledgeable about community, state and federal financial, health and social policy, regulations and * programs. * Demonstrated skills in collaboration, teamwork and problem-solving to achieve goals. Minimum Requirements: 1. RN; Master of Science in Nursing, or other healthcare related Master's degree preferred. 2. Skilled in InterQual and/or Milliman criteria. Management of multidisciplinary department. 3. Licensed as a Registered Nurse. 4. 5 + years recent clinical experience in a hospital setting and experience in management/leadership position within a healthcare organization. 5. 3 + years of experience in case management, discharge planning and /or utilization review experience. 6. Case Management Certification CCM preferred. If you or anyone you know are interested in this opportunity, please contact Jason D. Kelsey CTS, PRC. jkelsey@healthassurestaffing.com Health-Assure Staffing & Recruiting www.HealthAssureStaffing.com #1407 http://bull.hn/l/J19R/6"

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