Case Management - WA #1407 - Compensation: B.O.E. in Lawrenceville, Alabama

This is a new position. We need an RN with strong Case Management and leadership in that role. Search For: Case Management, RN, InterQual, Milliman, CCM. Position Title; Director of Case Management - WA #xxxx Relocation; Yes Location;Bremerton WA 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. EDUCATION REQUIRED: RN; Master of Science in Nursing, or other healthcare related Master's degree preferred. SPECIALIZED TRAINING REQUIRED: Skilled in InterQual and/or Milliman criteria. Management of multidisciplinary department. LICENSE/CERTIFICATION/REGISTRATIONS REQUIRED: Licensed as a Registered Nurse in WA state. WA State Driver's License. CONTINUING EDUCATION & COMPETENCY REQUIREMENTS: Continuing education and/or licensing requirements: As required for RN licensure. Population Specific continuing competency requirements: N/A EXPERIENCE REQUIRED: Five (5) years recent clinical experience in a hospital setting and experience in management/leadership position within a healthcare organization. Three (3) years experience in care management, discharge planning and /or utilization review experience. Master of Science in Nursing, or other healthcare related Master's degree preferred. 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. Bottom line 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.