Director - Case Management

This position may qualify for a sign-on bonus

Responsible for hospital utilization performance improvement and operational management of the Case Management Department in  order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered,  support efficient patient throughput, and ensure 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, patient, families and caregivers. Completes established competencies for the position within  designated introductory period. Other related duties as assigned.

Qualifications

MINIMUM EDUCATION: Bachelor’s Degree from an accredited school, college or university as a Registered Nurse 
PREFERRED EDUCATION: Master’s Degree from an accredited college or university in Nursing or related field
MINIMUM EXPERIENCE: 2 years in acute hospital case management, healthcare or leadership experiences 
PREFERRED EXPERIENCE: 5 years in acute hospital case management. McKesson InterQual® experience and
Business Planning experience
REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State registration as a Registered 
Nurse 
PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)
REQUIRED COURSES/ COMPLETIONS (e.g., CPR): NA

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Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Saint Luke's Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At Saint Luke's Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Baptist Health System has more than 120 years history of caring for our community and making a positive difference. Our system of care includes six full-service hospitals, a specialized childrens hospital with a dedicated pediatric emergency unit, a comprehensive cancer care network, fitness and rehabilitation centers, a physician network, imaging centers, ambulatory services and the Baptist School of Health Professions. Wherever you go in the Baptist Health System, youll find that we have the same goal to help people achieve health for life through compassionate service inspired by faith. Join our team!