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ProfileTraveling Registered Nurse Case Management Director The candidate: Oversees and/or directs the development and implementation of company-wide care coordination, utilization management, and social work services policies, procedures and programs in conjunction with related goals and objectives. Ensures compliance with federal and state regulations, and accreditation organizations, as well as established organizational policies and procedures. Establishes and oversees the development and implementation of case management services short and long-range goals and objectives and determines the optimal progression to obtain these goals. Reviews, analyzes and reports various activities to determine department progress toward stated goals and objectives. Responsible for designing, implementing, and monitoring medical management processes that will result in optimal clinical outcomes and effective and efficient utilization of resources. Should have bachelors Degree in a relevant field or equivalent level of education and experience. Expert-level working knowledge of principles, practices, and operations in assigned or related area of responsibility as normally obtained through a minimum of five years of progressively responsible managerial experience, including a minimum of two years management level experience within a healthcare system setting or large multi-operational, complex corporate environment. Must demonstrate expert-level knowledge and awareness of area of expertise in designated facility, business entity or area and/or experience in which the knowledge, skills, and abilities are directly transferrable. Proven track record of driving successful performance outcomes and accomplishing organizational goals. Must demonstrate skills and business acumen through direct leadership experiences such as: Anticipating and responding to the needs of internal and external customers; managing a budget and financial plans; building partnerships with management, staff, and stakeholders to achieve department goals and objectives; managing problems and situations where uncertainty is inherent; persuading others to adopt a particular stance on an issue; developing and evaluating best practices and emerging trends for organizational applicability and appropriateness; constructing new and innovative solutions for complex and varying problems and situations while considering the larger perspective or context; mentoring and coaching staff by providing open and honest feedback to enhance performance; developing and implementing strategic goals and initiatives that support organizational success; demonstrating excellent human relations, organizational and communication skills; demonstrating a passion about continuously improving and providing high quality care and service excellence to customers, patients, families, employees and/or physicians. Case management certification preferred additional related education and/or experience preferred.
Job Number: 201490