Description

Description: We are in search of a Director Care Management - RN For a Southeastern NM hospital.
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Sign-On Bonus and Relocation Assistance available.
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20K Sign-On $10K Relocation(paid upon the submission of approved receipts)
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Day Shift hours.
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JOB SUMMARY

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The Director, Care Management is responsible for overseeing the implementation, development, and management of the Care Management and Resource Management programs. This position ensures compliance with all regulatory requirements, establishes efficient processes for patient care and discharge planning, and provides leadership to the Care Management team. The Director works collaboratively with staff, physicians, and community resources to deliver patient-centered care and achieve optimal outcomes.
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Qualifications
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Bachelor's degree in nursing required
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Master's degree in nursing, Healthcare Administration, or a related field preferred
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4-6 years of clinical nursing experience required
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3-5 years of experience in care management or utilization review required
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1-3 years of leadership experience in a healthcare setting required

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Qualifications

• Basic Life Support (BLS) Certification
• Advanced Cardiovascular Life Support (ACLS)
• National Institutes of Health (NIH)
• Sound knowledge of anatomy, physiology, pathology, and medical terminology.
• Active unencumbered Clinical Director New Mexico state license
• Graduate from a fully accredited Clinical Director program
• One year of work experience as Clinical Director
• One year of EMR experience
• Board Certified

SKILLS/ABILITIES/COMPETENCIES REQUIRED:

• Maintains and updates clinical knowledge and skills.
• Participates in relevant continuing education programs.
• Knowledge of and dedication to the highest patient care and provide the utmost service excellence to all patients.
• Ability to take initiative and to exercise independent judgment, decision-making and problem-solving expertise.
• A can-do, team oriented attitude is essential, as the ability to work independently and to interact easily with physicians, other managers and staff throughout the department and hospital.
• Effective interpersonal/communication, organizational, and the flexibility to handle multiple tasks.

Requirements:

• COVID vaccine with 2 Shots & Booster

ABOUT HEALTHCARE STAFFING PLUS

Healthcare Staffing Plus is a US based national per diem, local contract, and locum tenens agency. We are located in the beautiful rolling hills of southern Indiana just outside of Louisville, KY.

With close to 24 years of non-clinical healthcare experience that includes 16 years of solid medical staffing and recruiting experience, we deliver on our promise of adhering to strict and ethical recruiting standards handled with the utmost professionalism. Never resting on our laurels of sourcing candidates thoroughly and presenting our clients only the cream of the crop.

Responsibilities:

ESSENTIAL FUNCTIONS

• Oversees the implementation and maintenance of an effective and compliant Care Management program that meets all regulatory and accreditation standards.
• Provides leadership and direction to staff, ensuring accountability for duties and adherence to roles within their scope of practice.
• Conducts chart reviews to evaluate severity of illness (SI) and intensity of services (IS) for admissions, continued stays, and discharge planning.
• Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up.
• Identifies avoidable days and implements communication systems to address and resolve them effectively.
• Coordinates discharge planning and social services functions to ensure compliance with federal and state laws and Joint Commission standards.
• Acts as a liaison to community agencies, providing resources and services for post-hospital placement and support.
• Ensures accurate and timely reporting of CPS (Child Protective Services) or APS (Adult Protective Services) cases as mandated and educates staff on mandatory reporting requirements.
• Interprets and enforces policies and regulations set by CMS, Joint Commission, and other governing bodies, ensuring department compliance.
• Participates actively in Patient Care Conferences and Length of Stay (LOS) meetings to support efficient care delivery and discharge planning.
• Performs other duties as assigned.
• Complies with all policies and standards.

Benefits (Health, Transit, 401k):

• Competitive salary with a comprehensive benefits package, including:
• 401(k) match
• Paid Time Off (PTO)
• Medical, dental, vision and flexible spending accounts
• Life and disability insurance and more