Director, Case Management

Atlanta, GA 30301

Post Date: 01/31/2018 Job ID: 25760 Category: Registered Nurse

Job Description:
  • Responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectives.
  • Direct the overall operational leadership of case management functions and staff.
  • Perform and oversee needs analysis and planning.
  • Work with executive leadership to ensure targets are met for the annual operating plan/financial management.
  • Ensure compliance with Corporate, State and NCQA standards.
  • Develop and implement methods, policies and procedures to improve the department s efficiency and effectiveness.

  • Bachelor's degree in Nursing or related field.
  • At least 5 years of work experience in managed care and acute care settings with complex case management.
  • Medicare background.
  • Familiarity with HEDIS and STARS measures- quality components- QRS
  • Case management and UM experience.
  • Previous management experience (3-5 years minimum) including responsibilities for hiring, training, assigning work and managing performance of staff.
  • RN license.
  • CCM - Case Management Certification

For more information, please contact our office at 877-782-3334.


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