The Director of Case Management is responsible for the overall facilitation of hospitalization from admission through discharge. The Director will coordinate with Physicians, Nurses, Social Workers, and other health team members to make sure processes are in place to expedite medically appropriate, cost-effective care. The Director develops guidelines for the Case Managers to apply their clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. The Director will mentor the Case Management team and provide leadership.
- Provides direction and professional guidance, leadership development. Exemplifies leadership behaviors. Coordinates with appropriate service level owners related to performance expectations and results. Evaluates colleague performance and participates in improvement activities.
- Facilitates ongoing orientation at all levels. Encourages continuous employee feedback and formulates action plans for positive employee engagement. Positively manages physician relations through ongoing communications. Encourage high-quality performance through recognition and reward.
- Effectively plans and budgets activities of the departments managed. Reviews financial statements and indicators to identify adverse trends and provide performance reporting as necessary and is responsible for the oversight and approval of financial activity for responsible areas including, but not limited to payroll, expense requests, etc.
- Demonstrates professionalism (e.g., personal and career accountability, career planning, ethics, practices evidence-based management, and active membership in professional associations).
- Employs leadership skills (e.g., foundational thinking, personal journey, uses systems thinking, succession planning, and change management).
- Demonstrates knowledge of the health care environment (e.g. clinical practice knowledge, patient care delivery models, work design knowledge, healthcare economics, healthcare policy, governance, evidence-based practice, outcome measurement, patient safety, utilization/case management, quality improvement, metrics, and risk management).
- Demonstrates effective communication and relationship-building skills (e.g., effective communication, relationship management, influence of behaviors, ability to work with diversity, shared decision making, community involvement, and medical staff relationships).
- Requires flexibility and the ability to adjust to changing situations.
- Commitment to Purpose and Community Cares Standards of Behavior - Demonstrates a commitment to the organization's mission, vision, and values supporting organizational decisions and behaviors. Contributes to the development and implementation of systems and processes ensuring strategic goal attainment. Actively participates, models and supports work aligned with the five pillars (Quality, Service, People, Finance, and Growth). Actively participates, models, and supports positive behaviors and transparent communications.
- Developing Expertise - Takes action to continue to develop and acquire new expertise that is of increasing value to the organization
- Relationships, Conversation and Collaboration - Works as part of a team with others, and shows respect and values diversity toward others.
- Service Orientation - Demonstrates efforts to discovering, meeting and advocating for the customer's needs. Actively participates to improve the patient experience.
- Excellence Orientation - Takes actions to continually improve quality and safety in daily work. Actively participates in improving work processes to meet and exceed customer requirements. Identifies opportunities for improvement based on process observation, outcome measures, and feedback from patients and other customers. Reports errors in a timely and appropriate manner. Takes initiative and is accountable for areas of responsibility meeting regulatory requirements including but not limited to maintaining annual TB testing, completing annual mandatories, and maintaining current registration/certification/licensures as appropriate to position requirements.
- Problem Solving - The ability to understand a situation by breaking it apart into smaller pieces or tracing the implications in a step-by-step way.
- Initiative - The identification of a problem, obstacle, or opportunity and proactively taking action to address current or future problems/opportunities.
- Impact and Influence - The ability to persuade, convince influence, or impress others (individuals or groups) in order to get them to go along with or to support one's opinion or position. The key is to understand others since Impact and Influence are based on the desire to have a specific impact or effect on others.
- Organizational Awareness - The ability to understand and learn the influence relationships in one's own organization or in other organizations (e.g., key stakeholders, suppliers, etc.). This includes the ability to identify who the real decision-makers are; the individuals who can influence them; and to predict how new events or situations will affect individuals and groups within the organization.
- Bachelor's degree in Nursing from an accredited college or university. [Diploma Required]
- Master's degree in related field (Preferred)
- CCM certification
- Current Indiana Registered Nurse licensure
- CPR certification required.