Medical Management Director jobs in Iowa

The Director of Case Management holds a crucial role within the hospital setting, overseeing the implementation and operation of the case management program. Their primary responsibilities encompass several key areas, including:

• The director is responsible for ensuring that the case management program is effectively established and operational within the hospital.
• This involves coordinating and facilitating patient care across various healthcare disciplines and settings to ensure optimal outcomes and smooth transitions.
• The director oversees the utilization of healthcare resources to ensure they are used efficiently and appropriately, while also maintaining quality of care.
• They manage and supervise the case management process, which involves assessing patient needs, developing care plans, and coordinating services to meet those needs effectively.
• The director ensures that discharge planning processes are in place to facilitate safe and timely transitions for patients leaving the hospital, including coordinating post-discharge care and support services.

Overall, the Director of Case Management plays a critical role in optimizing patient care delivery, resource utilization, and care coordination within the hospital environment.Primary Responsibilities:

• Provide leadership, education, and supervision for Case Managers and Social Workers, ensuring the smooth day-to-day workflow of the department.
• Monitor the Case Management Department’s documentation to ensure it meets regulatory compliance standards.
• Maintain proficiency in case management and utilization review to provide coverage for patient caseloads and address staffing needs across all hospital areas.
• Communicate with physicians regarding patient needs, assist in developing appropriate treatment plans, and facilitate level of care and bed placement assignments.
• Directly responsible for personnel actions, including hiring, conducting performance appraisals, creating employee schedules, and maintaining payroll records and time reports in KRONOS.
• Facilitate daily Multidisciplinary Rounds to foster collaboration with other disciplines and ensure holistic patient care.
• Participate in discharge planning, providing necessary education and resources to meet the discharge needs of individual patients and families.
• Actively participate in Utilization Review Committee and Revenue Cycle Committee meetings.
• Promote efficient utilization of clinical resources and ensure appropriate resource allocation based on patient acuity.
• Ensure understanding, awareness, and compliance with all applicable Joint Commission, CMS, state, and local agency laws, regulations, guidelines, policies, procedures, and professional standards.
• Perform other duties as assigned by hospital administration.Knowledge, Skills & Abilities:
• Comprehensive knowledge of Medicare, managed care systems, and the entire healthcare continuum including inpatient, outpatient, and home health services. Familiarity with utilization management, discharge planning, and case management processes.
• Ability to collaborate effectively with healthcare professionals across all levels to achieve established goals and enhance quality outcomes. Strong interpersonal skills facilitate productive teamwork and interdisciplinary cooperation.
• Working familiarity with performance improvement concepts and methodologies, allowing for the identification of areas for enhancement and the implementation of strategies to drive continuous quality improvement.
• Self-motivated with demonstrated assertiveness and excellent communication skills. Capable of working autonomously while also thriving as an integral team member, facilitating effective communication and cooperation among colleagues.
• Proven track record of establishing and maintaining effective working relationships with physicians, fostering mutual respect and collaboration to ensure the delivery of high-quality patient care.Experience Requirement:Candidates must have at least two years of hands-on experience in Case Management, specifically in utilization management, case management, discharge planning, cost/quality management programs.Candidates with two to three years of prior management/Supervisory experience, including a minimum of two years in hospital-based nursing roles.Certificate/License:Holders must possess Iowa Mandatory Reporter certificates for Child and Dependent Adult Abuse.Possession of a current RN license issued by the state of Iowa, or a multistate license permitting practice within Iowa, is required.

Why Arrow Medical Group:

Building partnerships with healthcare professionals and the communities they serve. Our mission is connecting nurses with the best employment opportunities in the world and helping them advance their careers while delivering the best patient care available. Achieving the right mix of clinical skillsets, cultural fit, and career opportunity for the best outcomes is our shared goal.

Arrow is an Equal Employment Opportunity ("EEO") Employer and welcomes all to apply.

Job Type: Full-time

Pay: $90,000.00 - $125,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Relocation assistance
• Tuition reimbursement
• Vision insurance
• Wellness program

Healthcare setting:

• JCAHO accredited facility
• Level II trauma center

Medical specialties:

• Cath Lab
• Critical & Intensive Care
• Emergency Medicine
• Geriatrics
• Home Health
• Trauma Medicine

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends
• Weekends as needed

Experience:

• Case management: 2 years (Preferred)

Ability to Relocate:

• Fairfield, IA: Relocate before starting work (Required)

Work Location: In person