Medical Management Director jobs in North Carolina
Medical Management Director directs and oversees the operations and strategic planning of the organization's medical management initiatives and programs. Establishes case management, utilization review, quality and outcome management, and community education programs to provide high quality, cost effective health care services. Being a Medical Management Director develops and implements clinical guidelines for care designed to improve outcomes while managing costs. Requires a bachelor's degree. Additionally, Medical Management Director typically reports to top management. The Medical 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 Medical Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added Medical Management Director jobs
- Watertown Regional Medical Center
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Henderson, NC
FULL_TIME
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Description
Maria Parham Health
Who We Are:
People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. With 205 licensed beds, Maria Parham Health is equipped for every health care need one can encounter. We are fully licensed by Joint Commission, the College of American Pathologists, and Rated Highest in Patient Safety from Leapfrog.
Where We Are:
Henderson offers a great outdoors, including the region's largest lake, providing endless hours of fun boating, fishing, skiing and camping. Throw in great golfing, hunting and two fantastic recreational organizations and you may find yourself having a hard time deciding what to do next!
Why Choose Us:
* Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
* Competitive Paid Time Off, PTO cash out, and PTO donation programs
* Employee Assistance Program - mental, physical, and financial wellness assistance
* Loan Repayment and Tuition Reimbursement/Assistance for qualified applicants
* Robust employee recognition and awards programs
* And much more...
Position Summary:
The Case Management Director is the first line manager designated as the leader for Case Management team. the Case Management Director has accountability and responsibility for departmental functions of case management, concurrent coding, utilization review, financial outcomes management, social work, patient education. Plans, coordinates, directs the fiscal, personnel and patient care needs and the age of the patient in as cost effective manner as possible. Collaborates with Quality Management and Nursing Directors in promoting positive clinical outcomes. Responsible for integration of the department into the overall functioning of the organization. Performs other related duties as assigned.
Reports to: Chief Financial OfficerResponsibilities of the Position:
- Develops and implements departmental goals, plans, and standards consistent with the clinical,
administrative, legal, and ethical requirements/objectives of the organization.
- Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
- Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
- Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits.
- Creates and fosters an environment that encourages professional growth.
- Integrates evidence-based practices into operations and clinical protocols.
- Provides clinical leadership for the Patient Care Coordinators and Social Worker for day to day issues regarding quality, resource management, utilization review, and discharge planning.
- Reviews the delivery of services and care provided in the acute care setting for medical necessity, appropriateness, and conformance to professional standards developed by the Hospital , managed care, and regulatory organizations.
- Collaborates with Nursing Director regarding interdisciplinary patient care rounds.
- Participates in hospital and departmental safety programs.
- Other responsibilities as assigned by leadership.
QualificationsMinimum Education
Bachelors degree preferred
Masters degree preferred or an equivalent work experience and education.Required Certification
BLS (Basic Life Support) from AHA (American Heart Association)Minimum Work Experience
3 years experience in nursing or social work preferred or equivalent work experience and education.
Previous supervisory experience preferredRequired Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.EEOC Statement:
Maria Parham Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
Job Case Management/Social ServicesPrimary Location NC-HendersonSchedule Full-timeWork Schedule Day shift, 7-10 hr/shift, weekdays only - Develops and implements departmental goals, plans, and standards consistent with the clinical,
- 21 Days Ago
- Clinical Management Consultants
-
Clayton, NC
FULL_TIME
- Calling all Inpatient Nurse Leaders! An exciting opportunity working as an Medical Surgical Services Nursing Director is readily available in North Carolina. The Nursing Clinical RN Director Medical S...
- 1 Month Ago
- Theoria Medical
-
Snow, NC
FULL_TIME
- Company Overview Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. T...
- 14 Days Ago
- Theoria Medical
-
Gastonia, NC
FULL_TIME
- Company Overview Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. T...
- 1 Day Ago
- Theoria Medical
-
Shelby, NC
FULL_TIME
- Company Overview Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. T...
- 1 Day Ago
- Theoria Medical
-
Lincolnton, NC
FULL_TIME
- Company Overview Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. T...
- 5 Days Ago
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-
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