Director - Case Management

  • HCA
  • Las Vegas, NV, USA
  • Nov 04, 2017

Job Description

Job Code: 01541-15082


Days (rotating weekends)

Serving the community for nearly 60 years, Sunrise Hospital & Medical Center provides Las Vegas and the Southwest region with high quality, advanced healthcare services. Sunrise Hospital is the largest acute care facility in Nevada. Sharing the same campus as Sunrise Children's Hospital, Nevada's largest most comprehensive children's hospital.

The Director of Case Management, under the direct supervision of the Administrative Director of Case Management, will direct the case management program, including the functions of case management, utilization management, resource management, discharge planning and care coordination for the facility. The Director is responsible for coordinating the systems necessary for safe and appropriate discharge as well as utilization management practices that meet corporate, division, facility and regulatory guidelines. The Director assesses and evaluates the care/services provided, staffing levels, competency and educational needs of the case management staff and effectively coordinates and controls resources. The Director provides consultation and education to facility leadership, clinical and financial personnel, the Board of Trustees, and medical staff members related to case management practices. The Director assists with the annual review of the Case Management/Utilization Management Plan of the hospital. The Director will identify and implement processes that support and promote efficient patient throughput across the Healthcare Continuum resulting in optimal clinical outcomes, appropriate utilization of resources and appropriate and accurate reimbursement.

Education: Minimum: Diploma, ADN, BA or BSN degree in nursing or other healthcare related field. Master's degree preferred.

Preferred: National Certification in Case Management (ACM or CCM) - If not certified, will get certification within one year of employment.

Minimum 5 years nursing experience in an acute hospital. Minimum 3 years' experience of progressive management levels working area of case management and utilization review, in an acute care hospital.

Excellent communication skills, positive attitude with excellent customer service skills. Advanced knowledge of levels of care criteria; strong leadership skills. Good financial management. Strong knowledge of regulatory standards for federal payors, JCAHO, and other insurance companies.

Maintain professional licensure as appropriate to discipline

Last Edited: 11/02/2017