Manager Case Management - FT

Key Responsibilities:

• Department Oversight & Leadership: Manage the daily operations of the Case Management/Utilization Review Department, including supervising case managers, social workers, and utilization management staff to ensure high standards of patient care and service delivery.
• Case Support & Guidance: Provide direct support and mentorship to case managers, ensuring timely and accurate patient assessments, concurrent reviews, and resolution of complex care issues to optimize patient outcomes.
• Operational Excellence: Ensure compliance with clinical guidelines, regulatory standards, and hospital policies in the delivery of case management services, contributing to the overall effectiveness of the department.
• Collaboration & Communication: Work closely with multidisciplinary teams, including physicians, nurses, and social services, to ensure coordinated and patient-centered care across the continuum of care.
• Leadership in Absence of Director: Assume full leadership of the department during the Director's absence, ensuring smooth operations and continuity in the delivery of care services.

Qualifications:

Education:

• Required: Graduate of an accredited or approved school of nursing.

Experience:

• Required: A minimum of two years of experience in acute care hospital Case Management and/or Utilization Management.

Licenses/Certifications:

• Required: Current licensure as a Registered Nurse (RN) in the state of New Mexico, or a compact RN license.

Additional Skills & Attributes:

• Strong leadership and team management abilities.
• Excellent communication, problem-solving, and decision-making skills.
• Ability to effectively prioritize and manage multiple tasks in a fast-paced environment.
• Deep understanding of case management processes, utilization review, and patient care coordination.

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