SHIFT: No Weekends
Case Management (RN), Full-Time
Regional Medical Center
Kendall Regional Medical
Center is a 417-bed, full-service, provisional Level I Trauma hospital
providing 24-hour comprehensive medical, trauma, burn, surgical, women and
children’s services, behavioral health and diagnostic services, along with a
wide range of patient and community services. Kendall Regional Medical Center
has been honored by being nationally recognized with many prestigious awards
and accolades, including: Thomson Reuters 100 Top Hospitals, a HealthGrades
Distinguished Hospital (Top 5%) for Clinical Excellence, The Joint Commission
Certification as a Primary Stroke Center, accredited Chest Pain Center with
PCI, and most recently, by the Joint Commission as a “Top Performer” on key
Isn't it time you were
offered a competitive salary and an exceptional benefits package that
complements your lifestyle? Join the team at Kendall Regional Medical Center.
Our award-winning hospital fosters an atmosphere that constantly rewards our
nurses and clinical professionals for their commitment, while encouraging them
to maintain a healthy lifestyle outside of work!
Regional Medical Center is a member of the nation’s leading provider of
healthcare services, Hospital Corporation of America. Historically HCA has been named one of
Ethisphere’s World’s Most Ethical Companies. Join our tradition of excellence!
We offer you an excellent total compensation package,
including competitive salary, excellent benefit package and growth
opportunities. We believe in our team and your ability to do excellent work
with us. Your benefits include 401k, PTO, medical, dental, flex spending, life,
disability, tuition reimbursement, employee discount program, employee stock
purchase program, and student loan repayment.
The Director, Case
Management reports to the CFO and has overall accountability for the Case
Management function in a facility. The
role established objectives, directs department operation and develops overall
departmental strategies in alignment with the overall direction of case
management within the Division and organization. The Director is responsible for the results
of the unit as well as the development and deployment of staff within their
area of responsibility
and implements that annual departmental plan consistent with budgetary
constraints, ensuring maintenance of quality control program, provision of
services with an emphasis on patient safety.
Develops annual goals and objectives that are attainable and are
appropriate to department plan and includes employee, physician, patient
collaborative/cooperative relationships with others in the organization by sharing
meaningful information, soliciting feedback and exhibiting respect and
support. Integrates department’s service
within the hospital’s primary function.
the finances of the function by identifying savings opportunities or revenue
enhancement that add value to the departmental or facility processes; prepare
operational expense growth within hospital guidelines and based on department
workload, analyze department statistics on an ongoing basis to determine
potential variances and make adjustments where necessary.
of the Utilization Management Committee Meetings and minutes. Preparation of Utilization Management monthly
agenda and presentation of pertinent data.
Example: Denial Activity, Peer Review Activity, and activity of targeted
Review Organization (PRO) liaison for hospital.
Receive, maintain and respond to all requests for medical record
review. Maintains and replies to all
denial correspondence. Responsibility to
review and revise Utilization Management Plan on a yearly basis. Following revisions and approval of the UM
Plan by the Utilization Management Committee, the Director of Case Management
is responsible to obtain approval of the plan by the Medicaid Peer review
staff compliance with the Joint Commission National Patient Safety Goals, in
particular, patient identification, hand-off communication and medication
have RN License
degree in Nursing required
degree strongly preferred
years of experience in Case Management required
Management Certification preferred
years of experience as a Director Case Management in acute care setting