Director, Case Management

Location: Brooklyn, NY, USA; onsite office-based hospital environment

Salary: $140,000–$160,000 USD

Company

hirify.global operates in a hospital and healthcare services environment.

What you will do

• Direct case management and social work activities, monitoring quality of care, documentation, and compliance.
• Develop and evaluate utilization management, care coordination, transition management, and programs for high-risk or high-volume patients.
• Identify and address length-of-stay issues, manage concurrent denials, and improve department performance through data.
• Collaborate with department leaders to integrate case management and social work services across the care continuum.
• Maintain readiness for JCAHO, federal, and state regulatory requirements and lead clinical revenue enhancement projects.
• Develop department policies, communicate revisions, and support learning programs for staff and affiliating students.

Requirements

• Bachelor’s degree in Nursing; a master’s degree in Nursing or related healthcare courses is preferred.
• Five to ten years of acute care clinical experience and at least five years of case management leadership experience.
• New York State Licensed Registered Professional Nurse.
• Certification in Patient Review Instrument (PRI) and Screen and certification in Case Management.
• Knowledge of CMS Conditions of Participation, HIPAA, healthcare laws, regulations, standards, utilization management, care coordination, and transition management.
• Strong leadership, managerial, communication, problem-solving, analytical, and interpersonal skills, with advanced Microsoft Word and Excel knowledge.

Nice to have

• Master’s degree in Nursing or related healthcare studies.
• Certification in Hospital Management.

Culture & Benefits

• Work is performed in a well-lighted and ventilated office setting with frequent interruptions.
• The role includes collaboration, staff supervision, and interaction with patients, families, and employees.
• Physical duties may include moving around the work area, operating office equipment, and light lifting up to 15 pounds.
• Compliance with hospital safety, information security, and HIPAA policies is required.
• A smartphone or electronic device capable of supporting multifactor authentication is required.