Case Management Director

MCALLEN, Texas, Responsibilities POSITION SUMMARY: The Director of Case Management (DCM) provides hospital leadership for operations and management of the case management staff and department. Develops and mentors the case management staff and is accountable for evaluating staffing levels and budget management. Will execute, monitor, and evaluate system and facility initiatives. Ensures staff competencies in all areas of case management (utilization review, resource management, and transition/discharge planning, and social work services).   Develop strong relations with hospital senior management, key medical staff, CNO/nursing leadership, HIM/CDI leadership to facilitate quality and efficacious care. Leads hospital and system-wide case management initiatives to meet established benchmarks, standardization, and established targets.   Collaborate with Performance Improvement on CMS clinical indicators to ensure best practice is provided on behalf of our patients. Demonstrates Services Excellence at all times.    Other duties as assigned     Qualifications QUALIFICATIONS: Minimum of three to five years managerial experience in an acute health care facility in positions responsible for utilization or case management processes to include discharge planning, electronic referral applications, electronic medical records, clinical care, and previous managed experience required.   8-10 years in case management minimum.

Experience with Midas and Report Writer functions highly desirable Significant experience with InterQual to include use of electronic version, Prefer both hospital and payer case management experience including population management and transitions of care experience.   Experienced in use of Microsoft office products.   Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines. Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer. EDUCATION / LICENSURE: Bachelor’s Degree required BS-Master’s degree preferred Registered Nurse and or Master Social Worker Licensed (LMSW) required. Must be currently licensed as an LMSW or RN in Texas or holds a compact RN license. CCM Preferred. If RN must have and maintain a current BLS certification.   EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.   We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc. ) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs. alertline. com or 1-800-852-3449.   Authorized by   Corporate Human Resources      

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