The Group Director Case Management is responsible for executing Tenet's organizational case management strategic plan. They are a leader, mentor, consultant, and subject matter expert regarding case management regulations and standards. The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.
This position integrates national standards for case management scope of services including:
Utilization Management supporting medical necessity and denial prevention
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
Education provided to physicians, patients, families and caregivers
Additionally, the Group Director of Case Management will also have direct supervision/oversight of the Case Management functions of East Cooper, Hilton Head, and Coastal Carolina hospitals.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Education and other Qualifications
An active Registered Nurse license with at least two years acute hospital case management leadership experience.
Bachelorâ��s Degree in Business, Nursing, Social Work or Health Care Administration or relevant experience by VP of Case Management is required
MSN, MBA, MSW or MHA preferred
Accredited Case Manager (ACM) preferred.
McKesson InterQualâ® experience preferred
Five years acute hospital case management experience preferred
Manages associates of the Case Management departments for East Cooper, Hilton Head, and Coastal Carolina hospitals (12 - 15 employees)
Job: Managers and Directors
Primary Location: Mount Pleasant, South Carolina
Facility: East Cooper Medical Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2105025549
About East Cooper Medical Center
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.