Located in a vibrant area in Southern Eastern Massachusetts is a growing, financially successful independent community hospital. They are searching for a Director of Case Management with a strong team approach. This hospital provides a close-knit family-oriented culture that promotes employee engagement and collaboration.
Position Focus Director Case Management
Provide oversight of the case management department with responsibilities for Utilization Review, integrated clinical service, and discharge planning.
The Director of Case Management will work very closely with the VP to enhance the CM program and will be creating policies and procedures.
They are a hospital going through a lot of growth and changes including software conversion, this director will be integrally involved in this project.
Efficiently apply medical necessity criteria for admissions, transitions of care, length of stay and readmissions. The primary focus will be on high- risk populations.
Organization and Community
They are a hospital that promotes a tangible / truly supportive family-oriented atmosphere for employees and visitors to the hospital.
There is a lot of teamwork and support among the directors.
The cuisine offered by the cafeteria is so good that it attracts locals from the community and employee family members.
They offer a selection of excellent benefits plus a fully funded pension program.
Location: The hospital is located in Southeastern Massachusetts near great beaches, tourist sites, and a selection of restaurants.
Requirements Director of Case Management
An MA RN and a BSN required. MSN, MHA, MBA strongly preferred.
Strong knowledge of Medicare (RAC), Medicaid, and commercial claims and denial processes with oversight for appeals preparation and submission.
Proficiency in InterQual or other admission / medical necessity and documentation criteria required.
3-5 years’ experience as a Manager or Director of Case Management.
Relocation assistance is provided
Contact: Rebecca David
Merraine Group Inc. is an executive search & recruitment firm specializing in the placement of Physicians, Managers, Directors and C-level leadership at Hospitals and Medical Centers across the United States. We place professionals throughout all hospital practices: Laboratory, Radiology/Imaging, Physical/Occupational Therapy and Respiratory, Nursing, Behavioral Health, Case Management, Emergency, ICU, Med/Surg, Surgical and OR, Quality, Pediatrics/NICU and Women’s Health, Finance, HIM, IT, Informatics and Practice Management.
To learn more about Merraine Group: Click Here
Internal Number: 4704RD
About Merraine Group
The Merraine Group is a fifteen year old company working with hundreds of hospital contracts - throughout the entire country. Our primary business is in placing top quality Directors and C/VP level candidates who have stable hospital experience. We are a fast-growing firm with offices in NY, Miami and San Diego, and our jobs can be seen on our web site.