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Director, Case Management

Bakersfield Heart Hospital Bakersfield, CA
  • Expired: over a month ago. Applications are no longer accepted.
The Director of Case Management is a working case manager who is responsible for the development of staff and systems to effectively operate a comprehensive Case Management/Utilization Review plan. Provides leadership and supervision to case managers, clinical documentation specialists, social worker(s) and case management admin. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools.

This position is responsible for managing the utilization of resources and discharge process of all inpatients. Maintains continuity and coordination of all the various disciplines involved throughout the patient's continuum of care including readmission. Provides education to staff/physicians/patients/families related to implementation of case management initiatives. Provides leadership for the Utilization Review Committee and processes, including active collaboration with the CM/UR Physician Advisor. Provides expertise and oversight in complex patient appeals and denials. Maintains and enhances relationships with referral and payor sources and assures quality care/outcomes while complying with various third party guidelines. Provides a positive role model of customer relations.

+ Education: Graduation from a program of nursing required. BSN preferred.

+ Licensure/Certification: Current state Registered Nurse license or licensure from a state within the Nursing Compact.

+ Experience: Minimum of three (3) years clinical experience. Cardiovascular nursing experience preferred. Two years of case management experience preferred.

Located in California's Central Valley, Bakersfield offers the very best of the California Lifestyle. Ideally situated within two hours of Los Angeles, Central Coast beaches and the Sierra Nevada Mountains, Bakersfield's cultural and recreational opportunities are almost limitless. At Bakersfield Heart Hospital (BHH), we specialize in the diagnosis and treatment of heart and vascular disease, but also care for a wide range of other medical and surgical patients. From our Women's Heart Center that focuses on helping women identify their risk factors for heart disease, to our 24/7 Emergency Department where anyone with an emergency can be seen, BHH is here for our community. At BHH, we employ professional and administrative non-clinical staff dedicated to the enhancement of services provided by our employees. If you're looking for a medical career, start with Bakersfield Heart Hospital.

ID: 2019-1078

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Street: 3001 Sillect Ave

Bakersfield Heart Hospital


Bakersfield, CA