Director Of Case Management

Offering Unlimited PTO and Relocation Package!!! Sign on Bonuses Open for Consideration

Corporate Talent Resources LLC is searching for a FT Permanent On-Site Director of Case Management in Lawton, OK.

Must have to be Considered:

• Oklahoma Registered Nurse State License or Multi-State Compact License
• BSN
• Minimum 5 years of experience in Case Management, discharge, and/or utilization review in an acute setting
• Minimum 3 years of Director Level experience at an acute care facility
• Certification in Case Management or Utilization Review a PLUS!

Core Responsibilities

• Oversee the Facility’s Case Management team to ensure adherence to standards of practice and regulatory requirements concerning care management and utilization review.
• Cultivate effective collaboration among Case Management Departments, Medical Staff, corporate and facility leaders to promote an integrated approach to care delivery aligned with the hospital's objectives.
• Demonstrate proficiency in navigating the health system's decision-making processes and organizational frameworks.
• Collaborate closely with providers and internal and external physician advisors for utilization review and management activities.
• Coordinate all Utilization Management (UM) Committee activities to ensure compliance with meeting schedules and documentation of outcomes.
• Work in tandem with Revenue Cycle teams and contribute to task force meetings addressing medical necessity audits and denials.
• Participate in appeals processes and collaborate with vendors to ensure timely and efficient appeals resolution.
• Analyze length of stay and readmissions data, collaborating with Operations team members, Corporate Case Management Directors, and other facility leaders to achieve established goals.
• Introduce evidence-based practices aimed at enhancing Case Management and transition processes.
• Conduct regular staff meetings to review pertinent Federal and State regulatory requirements, emerging internal and external trends, and provide general training for staff members.

We are an equal opportunity employer and value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Relocation assistance
• Tuition reimbursement
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Supplemental pay types:

• Signing bonus

Education:

• Bachelor's (Required)

Ability to Relocate:

• Lawton, OK: Relocate before starting work (Required)

Work Location: In person