Risk Management Director manages and administers an organization's risk-management programs. Implements policies, procedures, and controls to monitor and minimize the risk exposure of assets. Being a Risk Management Director researches internal and external risk factors including economic, market, and regulatory risks that may affect the organization. Routinely evaluates the effectiveness of procedures and collaborates with internal stakeholders to monitor changes in the business environment. Additionally, Risk Management Director manages statistical analysis and designing of financial models to predict the risk exposure of an organization's assets. Reviews risk analysis reports to ensure risks are identified and managed effectively. Requires a bachelor's degree. Typically reports to a director. The Risk 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. To be a Risk Management Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
ScionHealth is committed to a culture of service excellence as demonstrated by our employees’ adherence to the service excellence principles of Pride, Teamwork, Compassion, Integrity, Respect, Fun, Professionalism, and Responsibility.
As our most acute level of care, our specialty hospitals offer the same critical care patients receive in a traditional hospital or intensive care unit, but for an extended recovery period. Our clinicians play a vital role in the recovery process for chronic, critically ill and medically complex patients.
Job Summary: The Director of Case Management directs the Case Management and Utilization Management activities in a Kindred hospital. Oversees the facilitation of care coordination of the patient and family through the management of quality clinical service delivery. Partners with external customers, referral sources and payors to ensure the facilitation and coordination of the discharge planning process and serve as the patient and family advocate. Accountable for the facility’s denial management program. Ensures that case management services comply with the Conditions of Participation. Collaborates closely with the hospital CEO/Administrator, COO, CFO, CCO and District Office.
Essential Functions:
Education:
Graduate of an accredited program required:
RN or BSN preferred; or Masters of Social Work with licensure as required by state regulations; or Master’s degree in healthcare administration, business administration, or clinical specialty
Licenses/Certification:
Healthcare professional licensure required as Registered Nurse, Licensed Clinical Social Worker (LCSW),or Licensed Social Worker (LSW), as required by state.
Certification in Case Management preferred.
Experience:
Minimum three years’ experience in Hospital Case Management.
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