Market Case Management Director - Gallatin
Vir Healthway
Job Description
Must-Haves Bachelor's degree in Nursing - Required State of Tennessee or Multi-State Registered Nurse licensure - Required Minimum four years management experience directing a Case Management Department in an acute care hospital. Working knowledge of Care Management department functions including Joint Commission and Conditions of Participation (COP) requirements. Good understanding of Medicare, Medicaid, and other third-party payment systems.
Nice-To-Haves BLS certification from the American Heart Association (AHA) or American Red Cross (ARC) - Required within 30 days of hire, if not current upon hire. Master's degree in Nursing, Healthcare Administration or Business Administration Certification in Case Management such as CCM Job Description At Highpoint Health, you will experience a collaborative work environment. Here We Make a Difference Together, while Doing the Right Thing in order to Champion Patient Care.
At Sumner, we Act with Kindness and Embrace the Individuality that each team member brings to the organization. Located just 25 miles north of Nashville, Tennessee, Gallatin is thriving with unique shopping boutiques, delicious dining options, family-friendly festivals, and a memorable historic downtown square. We are a destination for those seeking outdoor adventure, fun and excitement or just a peaceful outing in nature.
Highpoint Health with Ascension operates hospitals in Gallatin, Hartsville and Carthage, Tennessee along with multiple physician practices. We provide quality care in numerous areas, including cancer treatment, cardiac care, same-day surgery, orthopedics, diagnostics, women's health and rehabilitation services. Why Choose Us: • Health (Medical, Dental, Vision) and 401K Benefits for full-time employees • Competitive Personal Time Off program for leaders • Employee Assistance Program - mental, physical, and financial wellness assistance • Professional development and Advanced Degree support • And much more This is a Great Place to Work!
The Market Director of Case Management will provide Case Management leadership and management for hospitals within a market of Highpoint Health. The position will be responsible for management or delegation of day-to-day operations including directing and planning. Formulate and implement operational strategies and initiatives in the case management program.
Ensure staff competencies in all areas of care management to include utilization review, transition/discharge planning, social work services. Provide specialized expertise, ensure resource alignment with system-wide initiatives, and update appropriate parties on case management strategies, initiatives, outcomes, and issues. Successfully partner with physicians and others to ensure delivery of evidence-based care and reduction of avoidable clinical variation in care.
Collaborate with Hospital Executive Leadership, Nursing, Medical staff, and other department stake holders to facilitate care in a safe environment. Screening Questions What makes you interested in this position? Share a case management experience in which you felt successful and why.
Interview Steps Submit Application or Resume for review If selected, depending on candidate location, either and in-person or TEAMS interview will be scheduled