Case Management Director jobs in Bethlehem, PA
Case Management Director oversees a staff of case managers responsible for patient care coordination. Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation. Being a Case Management Director evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Seeks treatments that balance clinical and financial concerns with the family's needs and the patient's quality of life. Additionally, Case Management Director contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care. Typically requires a bachelor's degree. Typically reports to top management. May require Registered Nurse (RN). The Case Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Case Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added Case Management Director jobs
Director of Case Management
- Grand View Health
-
Sellersville, PA
FULL_TIME
-
Schedule: Full Time, Days, Monday-Friday
Responsibilities
The Director of Case Management directs, plans, supervises, integrates and coordinates the GVH Case Management and Clinical Documentation Improvement programs. Oversees Utilization Management, Denial Management, Care Coordination, DC Planning and Social Work in the acute care setting, as well as outpatient-related Case Management programs (ER, Healthy Beginnings, Medical Access Program, Outpatient Social Work). The Director of Case Management oversees and is responsible for the performance of the Supervisor of Case Management, department staff, department functions and outcomes. The Director of Case Management ensures organizational compliance with federal, state, payor and other entities for regulations and standards. Identifies, builds and directs strategic interventions and innovation to improve department, systems and organizational resource utilization to maximize quality of care transitions, clinical documentation and care coordination across the continuum while optimizing and securing revenue.
Qualifications
EDUCATION AND EXPERIENCE:
Master's of Social Work:- Master's degree from CSWE-accredited school of social work.
- Minimum of 5 years of progressively responsible hospital management positions related to case management is required.
- Working knowledge of managed care, care coordination, case management, social work, utilization management and clinical documentation improvement in an acute care setting is required.
- Sound knowledge of regulations and requirements for payors and federal, state and other entities is required required, or Associate's degree or diploma.
RN:- Minimum of 5 years of progressively responsible hospital management positions related to case management is required.
- Working knowledge of managed care, care coordination, case management, social work, utilization management and clinical documentation improvement in an acute care setting is required.
- Sound knowledge of regulations and requirements for payors and federal, state and other entities is required.
BSN and Over 3 to 5 Years:- Minimum of 5 years of progressively responsible hospital management positions related to case management is required.
- Working knowledge of managed care, care coordination, case management, social work, utilization management and clinical documentation improvement in an acute care setting is required.
- Sound knowledge of regulations and requirements for payors and federal, state and other entities is required.
Master's Degree in a Related Healthcare Field:- Minimum of 5 years of progressively responsible hospital management positions related to case management is required.
- Working knowledge of managed care, care coordination, case management, social work, utilization management and clinical documentation improvement in an acute care setting is required.
- Sound knowledge of regulations and requirements for payors and federal, state and other entities is required.
LICENSES AND CERTIFICATIONS:- Registered Nurse in PA – licensed or Clinical Social Worker – licensed.
BENEFITS:- Medical, free dental, vision insurance for full time and part time
- 403B
- Pension plan
- On-site discounted child care center
- Tuition reimbursement up to $5250 per year
- Free life insurance
- Free parking
- Paid time off
- Sick time
- Flexible spending accounts
- Employee referral bonus
- 8 Days Ago
Case Management RN
- Trustaff
-
Allentown, PA
FULL_TIME
- As a Case Management RN, you'll develop, implement, and evaluate individual patient care plans. You'll work with patients one-on-one to manage their care appropriately and affordably. Case Managers ar...
- 20 Days Ago
Activities Director
- Elm Management
-
Richland, PA
FULL_TIME
- Now Hiring Full-time Activities Director! Plan and oversee recreational events and programs. Create and lead activities like arts and crafts, music, dance, and sports to develop our resident’s social ...
- 16 Days Ago
Registered Nurse, RN, Case Management
- Grand View Health
-
Sellersville, PA
FULL_TIME
- Schedule: Full Time, 8:30am-5pm Responsibilities The Patient Care Coordinator is responsible for the overall coordination of care for an assigned caseload. Conducts concurrent and retrospective clinic...
- 15 Days Ago
RECREATION DIRECTOR
- Complete Care Management
-
Phillipsburg, NJ
FULL_TIME
- Transform your career path, here and now! Now Hiring: FULL TIME RECREATION DIRECTOR Be a part of something bigger than yourself! Complete Care at Brakeley Park is a Pillar in the town of Phillipsburg,...
- 17 Days Ago
Director, Enterprise Project Management
- Health Partner Plans, Inc.
-
Allentown, PA
FULL_TIME
- Why Choose Jefferson Health Plans? We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that includ...
- 9 Days Ago
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0 Case Management Director jobs found in Bethlehem, PA area
Managing Director, Client Strategy
- Pitcairn Trust Company
-
Jenkintown, PA
- Job Description Job Description Pitcairn’s innovative Shared Single Family Office™ model provides unparalleled service t...
- 5/15/2024 12:00:00 AM
Managing Director
- FinPro, Inc.
-
Somerville, NJ
- FinPro is a dynamic nearly four decade old bank consulting, investment banking and data analytics firm located in Somerv...
- 5/14/2024 12:00:00 AM
Wealth Management - Director of Investment Manager Research
- NexWealth
-
Philadelphia, PA
- NexWealth, a multi-family office, is currently seeking a Director of Investment Research with a Chartered Financial Anal...
- 5/14/2024 12:00:00 AM
Associate Director, Program Management - Patient Support Services - Remote
- IQVIA, Inc.
-
Bridgewater, NJ
- The Program Associate Director works with Leadership and Program team to effectively oversee the programs and manage Cli...
- 5/14/2024 12:00:00 AM
Managing Director - Keystone LifeSci Collaborative
- Lincoln Leadership
-
Philadelphia, PA
- About the job Housed within the University City District’s West Philadelphia Skills Initiative, the Keystone LifeSci Col...
- 5/13/2024 12:00:00 AM
Global Head Portfolio Management
- CSL
-
King Of Prussia, PA
- Responsibilities: •Responsible for establishing and overseeing CSL enterprise wide processes and non R&D project portfol...
- 5/13/2024 12:00:00 AM
Sr Director Program Management
- Insmed Incorporated
-
Bridgewater, NJ
- Company Description: Insmed is a global biopharmaceutical company on a mission to transform the lives of patients living...
- 5/13/2024 12:00:00 AM
Associate Director, Study Management
- CSL Behring
-
King of Prussia, PA
- CSL Behring is a global biotechnology leader, guided by a promise to save and improve lives. Millions of people around t...
- 4/26/2024 12:00:00 AM
About Bethlehem, Pennsylvania
Bethlehem is a city in Lehigh and Northampton counties in the Lehigh Valley region of the eastern portion of the U.S. state of Pennsylvania. As of the 2010 census, the city had a total population of 74,982, making it the seventh largest city in Pennsylvania, after Philadelphia, Pittsburgh, Allentown, Erie, Reading, and Scranton. Of this, 55,639 were in Northampton County, and 19,343 were in Lehigh County.
Bethlehem lies in the center of the Lehigh Valley, a region of 731 sq mi (1,890 km2) that is home to more than 800,000 people. Together with Allentown and Easton, the Valley embraces the All...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Case Management Director jobs
$152,245 to $213,790
Bethlehem, Pennsylvania area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
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