Case Management Director jobs in Idaho

Case Management Director oversees a staff of case managers responsible for patient care coordination. Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation. Being a Case Management Director evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Seeks treatments that balance clinical and financial concerns with the family's needs and the patient's quality of life. Additionally, Case Management Director contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care. Typically requires a bachelor's degree. Typically reports to top management. May require Registered Nurse (RN). The Case Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Case Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Director of Case Management and Social Services
  • Gritman
  • Moscow, ID FULL_TIME
  • The Director of Case Management and Social Services is responsible for overseeing the activities of the department staff, optimizing quality, productivity, functional excellence and efficiency to accomplish strategic and operational objectives.

    This position is an integrated, inter-professional role which supports caregivers to provide the highest quality, most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources.

    This position also facilitates training and ensuring that monitoring and operations initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations.

    The Director of Case Management and Social Services effectively and efficiently manages a diverse workload in a fast paced, rapidly-changing regulatory environment. The Director leads and provides support to the hospitals Utilization Review (UR) committee. He/she collaborates with multiple leaders at various levels of the organization.

    The Director has well developed knowledge and skills in areas of Utilization Management (UM) medical necessity, and patient status determination and is responsible for performing a variety of concurrent and retrospective UM related reviews and functions for ensuring that the appropriate data is tracked, evaluated and reported.

     

    Minimum Licensure 

    Valid State of Idaho Registered Nurse license or temporary RN license. Should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements.

    American Nursing Credentialing Center (ANCC)-recognized certification

    ACM (Accredited Case Manager) through AMCA (American Case Management Association) (preferred)

    CCM (Certified Case Manager) CCMC (Commission for Case Manager Certification) (preferred)

     

    Required Skills

    Excellent interpersonal communication, problem-solving, and conflict resolution skills

    Computer skills in word processing, data base management, and spreadsheets

    Knowledge in areas of: Medicare and Medicaid UM regulations, McKesson InterQual, Medicare Inpatient Only List, RAC, QIO, MAC, and Denial Management

    Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

    Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one's own behavior to accommodate tasks, situations and individuals involved

    Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences

    Extensive knowledge of regulatory and accreditation agency requirements that impact department; stays abreast of industry changes

    Capable of leading teams/facilitating groups, building consensus and garnering highest confidence in professionalism and work product by senior leadership

     

    Organizational Expectations

    Provides a positive and professional representation of the organization.

    Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention.

    Maintains hospital standards for a clean and quiet environment.

    Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice.

    Participates in ongoing quality improvement activities.

    Maintains compliance with organization’s policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards.

    Complies with organizational and regulatory policies for handling confidential information.

    Demonstrates excellent customer service through his/her attitude and actions, consistent with the standards contained in The Gritman Way.

     

    Population Served

    Neonate, pediatric, adolescent, adult and geriatric, all genders, races, ethnicities, sociopolitical, demographic, marital, and sexual preference groups, developmental and physical abilities, mental illness, religions, and nationalities.

     

    Physical Demands

    Prolonged, extensive or considerable standing/walking. Considerable reaching, stooping, bending, kneeling, and crouching. Must possess good manual and finger dexterity. Visual requirements include near and far acuity, depth perception, color differentiation, and focusing ability. Hearing, speech, and sense of touch essential. Occasional repetitive motion activities.

     

    Environmental Conditions

    Regularly exposed to the risk of blood borne disease and other infectious disease. Contact with patients under a wide variety of circumstances, including their home environment. May be exposed to/occasionally exposed to patient elements, i.e., accidents, injuries, and illnesses. Subject to varying and unpredictable situations; potentially violent or angry patients and families; emergencies and crisis situations. Occasionally subjected to irregular hours/shifts. Frequently required to function competently with multiple demands and tasks. Maybe exposed to environmental hazards in patient homes. May be exposed to noxious and potentially hazardous fumes.

     

  • 8 Days Ago

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Director of Case Management and Social Services
  • Gritman Medical Center Inc.
  • Moscow, ID FULL_TIME
  • The Director of Case Management and Social Services is responsible for overseeing the activities of the department staff, optimizing quality, productivity, functional excellence and efficiency to acco...
  • 22 Days Ago

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1099 Onsite Medical Professional
  • Valley Case Management
  • Kuna, ID FULL_TIME
  • Posted 11 hours ago 1099 Onsite Medical Professional Kuna, ID 1099 Onsite Medical Professional Overview The Onsite Medical Professional (OMP) will serve as the site’s medical professional. The OMP wil...
  • 8 Days Ago

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Hospital Quality Management Director
  • Clinical Management Consultants
  • Ashton, ID FULL_TIME
  • An Accredited Medical Center just to the West of the Teton Valley has just announced an exciting opportunity for an experienced Director to join their Quality Department and help to ensure high qualit...
  • 5 Days Ago

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Hospital Quality Management Director
  • Clinical Management Consultants
  • Tetonia, ID FULL_TIME
  • An Accredited Medical Center just to the West of the Teton Valley has just announced an exciting opportunity for an experienced Director to join their Quality Department and help to ensure high qualit...
  • 17 Days Ago

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Director of Quality Management
  • Clinical Management Consultants
  • Ashton, ID FULL_TIME
  • An Accredited Medical Center just to the West of the Teton Valley has just announced an exciting opportunity for an experienced Director to join their Quality Department and help to ensure high qualit...
  • 17 Days Ago

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Managing Director
  • SpartaCraft
  • Connelly Springs, NC
  • Job Description Job Description SpartaCraft, a contract wood products and finishing company in Connelly Springs, NC is l...
  • 3/28/2024 12:00:00 AM

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Nurse Director Case Management
  • Clinical Management Consultants
  • Columbus, OH
  • Are you ready to elevate your nursing career to new heights? We have an incredible opportunity for a dynamic and experie...
  • 3/27/2024 12:00:00 AM

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Case Management Director
  • Clinical Management Consultants
  • Plainview, TX
  • An award winning medical center is searching for a strong, experienced Case Management Director. Our team is excited to ...
  • 3/25/2024 12:00:00 AM

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RN Director Case Management
  • Clinical Management Consultants
  • Las Vegas, NV
  • A hospital system is currently seeking its next Case Management Director, an individual with a visionary approach to lea...
  • 3/25/2024 12:00:00 AM

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Case Management Director
  • Maria Parham Health
  • Henderson, NC
  • Maria Parham Health Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are ...
  • 3/25/2024 12:00:00 AM

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CASE MANAGEMENT DIRECTOR (CoC)
  • GEO Group Inc.
  • South Bay, FL
  • Benefits Information Full-time employees will enjoy a competitive benefits package with options for you and your family ...
  • 3/25/2024 12:00:00 AM

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Managing Director / Senior Managing Director - Debt Advisory
  • Oberon Securities, LLC
  • New York, NY
  • Oberon Securities, based in New York City, is seeking experienced Managing Directors with expertise raising asset, cash ...
  • 3/25/2024 12:00:00 AM

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Managing Director Relationship Manager-MMB
  • First Citizens Bank
  • Santa Monica, CA
  • Overview: First Citizens Middle Market Banking delivers a range of financial solutions to midsize clients through a rela...
  • 3/25/2024 12:00:00 AM

Idaho (/ˈaɪdəhoʊ/ (listen)) is a state in the northwestern region of the United States. It borders the state of Montana to the east and northeast, Wyoming to the east, Nevada and Utah to the south, and Washington and Oregon to the west. To the north, it shares a small portion of the Canadian border with the province of British Columbia. With a population of approximately 1.7 million and an area of 83,569 square miles (216,440 km2), Idaho is the 14th largest, the 12th least populous and the 7th least densely populated of the 50 U.S. states. The state's capital and largest city is Boise. Idaho p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Case Management Director jobs
$139,544 to $195,956

Case Management Director in Greenville, SC
Reporting to the Regional Vice President of Case Management, the Executive Director of Case Management will oversee case management services over three or more hospitals as well as collaborating with the VP to implement system-wide initiatives.
January 15, 2020
Case Management Director in Las Vegas, NV
Are there special trainings or certifications recommended or required for case managers? Most hospitals don’t require their case managers to have master’s degrees, but many facilities prefer them to earn the designation of CCM (certified case manager).
December 06, 2019
Case Management Director in Macon, GA
With the aging population and more people aging in place at home, how has the role of the case manager changed? With changes in the aging population and the insurance plans that cover them, we’re really like a task force that finds ways to connect patients with the resources they need to prevent illness and hospitalization.
December 16, 2019