Case Management Director jobs in Greenville, SC

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)

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Director of Case Management ( RN / RT / MSW / LPN )
  • Regency Hospital - Greenville
  • Anderson, SC FULL_TIME
  • Overview

    Critical Illness Recovery Hospital

    Director of Case Management

    Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum three (3) years of medical case management or similar experience.

    Previous case mangement ( discharge planning ) experience with medically complex patients in a hospital critical care setting and supervisory experience.

     

     

    At Select Specialty/Regency Hospitals, a division of Select Medical, we care for chronically and critically ill or post-ICU patients who require extended hospital care. Select Medical employs over 48,000 people across the country and provides quality care to approximately 70,000 patients each and every day across our four divisions.

     

    Our mission is to provide an exceptional patient care experience that promotes healing and recovery in a compassionate environment. Each employee plays a vital role in doing that by living our cultural behaviors - celebrating success, owning the future, being patient-centered, creating change, thinking first and building trust.

     

    Are you resourceful in overcoming obstacles? Are you a results-oriented team player? If you answered 'yes', consider an opportunity with us!

    Responsibilities

    We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.

     

    As the Director of Case Management, you will use your clinical knowledge and contribute to the overall functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial management effectiveness.

    • Developing and implementing a patient-specific, safe and timely discharge plan.
    • Performing verification of utilization criteria reviews.
    • Building relationships and coordinating with payor sources in order to ensure proper reimbursement for hospital provided services and to promote cost attentive care via a focus on resource management.
    • Demonstrating compliance with facility-wide Utilization Management policies and procedures.
    • Coordinating UR compliance with Quality Management to ensure all licensure and accrediting requirements are fulfilled.
    • Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
    • Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

    Qualifications

    We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.

     

    Minimum requirements:

    • Current licensure in a clinical or a related discipline. 
    • Minimum three (3) years of medical case management or similar experience.
    • Two (2) years of experience in either (a) managing a case management department; or (b) case management at Select Medical with demonstrated effective leadership skills. (Internal candidate must have consistently achieved set objectives and must be recommended by the hospital CEO).

    Preferred qualifications that will make you successful:

    • Current RN licensure preferred.
    • Working knowledge of the insurance industry and government reimbursement.

    Additional Data

    Select Medical strives to provide our employees with work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.

    • An extensive and thorough orientation program.
    • Monday through Friday schedule; six (6) paid holidays.
    • Develop collaborative relationships with patients and their families.
    • Paid Time Off (PTO) and Extended Illness Days (EID).
    • Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
    • A 401(k) retirement plan with company match.
    • Short and Long Term Disability.
    • Personal and Family Medical Leave.

    We'd love for you to join the team!

     

    Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.

  • 20 Days Ago

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Counselor with Case Management Responsibilities
  • Furman University
  • Greenville, SC FULL_TIME
  • Counselor with Case Management Responsibilities Welcome to Furman University's Career Site! IMPORTANT: Load all documents in the My Experience area under Resume/CV. This may include your resume/C.V., ...
  • 25 Days Ago

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Case Management Assistant
  • Encompass Health
  • Anderson, SC OTHER
  • Case Management Assistant The Case Management Assistant, under the direction of the Director of Case Management assists in the administration of Case Management functions to include, but not limited t...
  • 6 Days Ago

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Case Manager
  • Eunice D. Freeman Case Mangement, LLC
  • Greenville, SC FULL_TIME,CONTRACTOR
  • About us Eunice D. Freeman Case Mangement, LLC is a small business in Case Management in Charleston, SC 29418. We are social, supportive and fun. Our work environment includes: Work-from-home days Eun...
  • 12 Days Ago

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Director II, Contract Management
  • Fluor Corp
  • GREENVILLE, SC FULL_TIME
  • This position provides oversight for all contract management activities on mega projects or key, strategic projects. This role assures, through assigned contract administrators, compliance with Prime ...
  • 20 Days Ago

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Director II, Material Management
  • Fluor Corp
  • GREENVILLE, SC FULL_TIME
  • The purpose of this position is to apply extensive and diversified knowledge of material management practices and principles to ensure the accurate, timely, and cost-effective identification, sourcing...
  • 21 Days Ago

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0 Case Management Director jobs found in Greenville, SC area

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Assistant Director
  • Big Blue Marble Academy
  • Mauldin, SC
  • Big Blue Marble Academy is searching for a compassionate, self-motivated, detail-oriented candidate for our Assistant Di...
  • 3/29/2024 12:00:00 AM

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Director of Field Operations
  • Advanced Technology Services
  • Greenville, SC
  • Founded in 1985, ATS is a company with a presence in the United States, Mexico and the United Kingdom. We are profession...
  • 3/29/2024 12:00:00 AM

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Construction Project Manager (Design-Build Manufacturing)
  • Omega Construction, Inc.
  • Greenville, SC
  • Job Description Job Description PROJECT MANAGER JOB DESCRIPTION Omega Construction is seeking an individual who possess ...
  • 3/28/2024 12:00:00 AM

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Nursing Assistant,FT,Days
  • Prisma Health
  • Greenville, SC
  • Inspire health. Serve with compassion. Be the difference. Job Summary Under the direction of a Registered Nurse assumes ...
  • 3/28/2024 12:00:00 AM

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TRANSIT OPERATIONS MANAGER - 0124
  • City of Greenville, SC
  • Greenville, SC
  • Salary: $79,300.00 - $111,100.00 Annually Location : 100 W. McBee Street - Greenville, SC Job Type: Full Time Job Number...
  • 3/26/2024 12:00:00 AM

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CNA FT, Nights
  • Prisma Health
  • Greenville, SC
  • Inspire health. Serve with compassion. Be the difference. Job Summary Under the direction of a Registered Nurse assumes ...
  • 3/25/2024 12:00:00 AM

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Healthcare Provider Network Contractor
  • Ewings Associates
  • Simpsonville, SC
  • Healthcare Provider Network Contractor In preparation for future projects, EWINGS is seeking to build relationships with...
  • 3/25/2024 12:00:00 AM

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Senior Accounts Receivable Specialist - Remote
  • Crossroads Treatment Centers
  • Greenville, SC
  • Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an i...
  • 3/25/2024 12:00:00 AM

Greenville is located at 34°50′40″N 82°23′8″W / 34.84444°N 82.38556°W / 34.84444; -82.38556 (34.844313, −82.385428), roughly equidistant between Atlanta (145 miles [233 km] southwest), and Charlotte, North Carolina (100 miles [160 km] northeast). Columbia, the state capital, is 100 miles (160 km) to the southeast. Greenville is in the foothills of the Blue Ridge Mountains, a physiographic province of the larger Appalachian Mountains range, and includes many small hills. Sassafras Mountain, the highest point in South Carolina, is in northern Pickens County, less than 40 miles (64 km) northwe...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Case Management Director jobs
$142,015 to $199,426
Greenville, South Carolina area prices
were up 1.5% from a year ago

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