Case Management Director jobs in Hawaii

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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Case Management Team Leader
  • Mental Health Kokua
  • Wailuku, HI FULL_TIME
  • ESSENTIAL FUNCTIONS:
    Service Responsibility Duties:
        
    1.    Maintain a partial case load of ten to fifteen (10-15) consumers.
    a.     Provide follow-up on service linkage and monitoring of case dispositions with continued client support, as necessary.
    b.    Assess the need for psychiatric and medication evaluations; make appropriate referral consultations with the medical staff.
    c.    Provide direct treatment services; coordinate services; make referrals; develop treatment plans; monitor and evaluate progress; provide ongoing support; provide intake and assessments; and make necessary changes to treatment plans.
    d.    Provide transportation to appointments when appropriate.
    e.    Assist client with budgeting resources when appropriate.
    f.    Assist in accessing medical and psychiatric care. Attend MED management meetings as needed.
    g.    Provide guidance and assistance in seeking and securing entitlements.
    h.    Work in conjunction with nursing staff and other Case Managers in implementing activities involving clients to include individual, group, family and recreational activities congruent with the client’s individual treatment plan.
    i.    Participate in collateral, conjoint, and family conferences necessary to client’s achieving treatment goals and objectives.
    j.    Recognize and accept changes in duties and responsibilities consistent with agency requirements and national standards, appropriate to the context of the Case Manager position.
    k.    Continually monitor and update consumer’s electronic record system.


    Case Management Supervision Duties:

    1.    Provide weekly supervision of case managers including:
    a.    Reviewing contact consumer tracker forms.
    b.    Meeting acuity levels of assigned consumers.
    c.    Completing behavioral assessments within 14 days of referral.
    d.    Completing treatment plans within 30 days of referral.
    e.    Providing follow-up with consumers discharged from psychiatric inpatient hospitalization within 7 days.
    f.    Assist with consumers to avoid re-psychiatric hospitalization within 30 days.
    g.    Make appropriate referral consultations with the medical and psychiatric staff.

    2.    Assist Case Managers to provide direct treatment services; coordinate services; make referrals; develop treatment plans; monitor and evaluate progress; provide ongoing support; provide intake and assessments; and make necessary changes to treatment plans.

    3.    Assist in accessing medical and psychiatric care. Attend case management team meetings as needed. Participate in collateral, conjoint, and family conferences necessary to client’s achieving treatment goals and objectives.

    4.    Work in conjunction with nursing staff and other Case Managers in implementing activities involving clients to include individual, group, family and recreational activities congruent with the client’s individual treatment plan.

    5.    Recognize and accept changes in duties and responsibilities consistent with MHK requirements and national standards, appropriate to the context of the Case Manager position.

    6.    Participate in MHK’s monthly Quality Improvement Committee, reporting on case management census and #1.a through 1.f, as well as incident reports and sentinel events.

    7.    Provide After Hours on-call services in the Evenings, Holidays, and on weekends as assigned.

    8.    Perform other related duties as assigned by Management.

    Clinical Supervision Duties:

    9.    Gathers information and identifies resource and referral services for care.

    10.    Conducts preparation and evaluation of consumer psychosocial assessments and development of social work service plans as needed for QMHP review, approval and signature.

    11.    Provides ongoing clinical review of case management, coordination, and monitoring of social work service plans in areas of personal, social or economic resources, conditions, or problems.

    12.    Assesses ongoing consumer treatment and prevention of psychosocial dysfunction, disability, or impairment, including emotional and mental disorders.

    13.    Applies formal clinical knowledge base, theoretical concepts, clinical diagnosis, specific functional skills, cultural sensitivity, and essential social values used to effect change in human behavior.

    14.    Documents clinical assessments, treatment plans, interventions and other important information in medical record according to MHK guidelines; maintains confidentiality of all clinical information and records in accordance with state and federal regulations and regional guidelines.

    15.    Follows case management program description as applicable.

    16.    Participates in clinical team meetings, departmental planning and quality management activities.

    17.    Coordinate and conduct master treatment team sessions for difficult or at risk consumers. The team will consist of representatives from all programs and other individuals associated with the client’s treatment (family members and significant others, etc.).

    18.    Works with Clinical Supervisor to ensure clinical supervision of assigned case managers occurred, including:
    a.    Individual/ group documentation according to contract, accreditation and business needs.
    b.    Document corrective action as necessary; e.g., training needed; clinical documentation.
    c.    Provide corrective action as assigned.

    19.    Provide clinical training to assigned staff members in identified areas of interest and concern, including:
    a.    Urgent or high-risk clinical situations and makes appropriate interventions;
    b.    Referral of persons served to psychiatrist or other clinician in timely fashion;
    c.    Admission to hospital or other specialized facility when needed;
    d.    Provides appropriate follow-up and intensity of services based on clients’ needs;
    e.    Assesses needs for psychological testing, chemical dependency treatment or other specific services and makes appropriate referrals.

    20.    Documents in clinical records according to MHK policy, including timely entry, and accurate portrayal of services. Conducts quarterly clinical record reviews according to contract requirements and accreditation standards.

    21.    Ensures adherence of assigned personnel to current MHK work rules, MHK code of conduct/ethics, applicable federal and state laws and regulations, accreditation and MHK policies and procedures. Reports and/or resolves issues of non-compliance.

    22.    Conducts routine performance supervision and annual performance evaluations of assigned staff members according to MHK policy. Ensures annual training competencies are completed for assigned staff annually.

    23.    Ensures case management and prescriber coverage for all persons served, including planned and unplanned absences of case managers and prescribers.

    24.    Works with QMHP to provide clinical supervision according to contract requirements and accreditation standards.

    25.    Serves as administrative liaison for MHK (where applicable) with insurance companies and funding sources; e.g., coordinating referrals; securing service authorizations; meeting productivity expectations; monitoring billing; and maintaining contract compliance.

    Core Expectations

    26.    Customer Service. Is proactive to create, adapt and develop services that are responsive to customer needs/ expectations. Maximizes customer satisfaction

    27.    Adaptability/ Change Management. Is flexible and open to new ideas. Creates/ supports new initiatives. Assists others. Exhibits optimism in adapting to change. Seeks opportunities to try new ways of doing things. Begins projects with the end in mind.

    28.    Communication & Listening Skills. Uses current MHK transparent communication model. Keeps others informed. Writes and speaks clearly, concisely, and effectively. Uses active listening. Genuinely strives to understand other viewpoints first before speaking. Respects differing viewpoints.

    29.    Conflict Resolution & Negotiation. Uses current MHK conflict resolution model. Goes first to the person with whom there is a problem. Focuses on the operating issues, separating out the personal issues. Seeks clear, equitable solutions that benefit the greater organization.

    30.    Problem Solving. Uses current MHK problem solving model. Resolves problems timely, with win-win solutions that benefit the greater organization. Follow through, applies solutions, and is accountable.

    31.    Teamwork. Participates and supports the collective MHK goals and offers ideas to synergize solutions.

    32.    Systems Thinking. Expresses opinions, offers solutions and makes decisions based on clinical/ business principles; corporate goals; and current MHK values/ ethics.

    33.    Organizational Alignment. Offers opinion, solutions and decisions for individual programs that are aligned with the mission, values, and goals of the greater MHK organization.

    34.    Accountability & Compliance. Is accountable for assignments. Offers to assist others. Holds self and others accountable for business functions. Complies with MHK work rules, and corporate compliance policy.

    35.    Utilizing Resources & Stewardship. Is proactive to create, adapt and develop services that are responsive to customer needs/ expectations. Maximizes customer satisfaction.

    QUALIFICATIONS:
    Education & Experience - Minimum Qualifications
    Graduation from an accredited four-year college/university with a bachelor’s degree or higher and 12 semester hour credits in: psychology, sociology, social work, social science, nursing, counseling, criminal justice, human services, social welfare or other related behavioral health science. Prefer Three (3) years specialized experience in case management, human services or related field. Computer literate. Shall have or be working towards competencies in providing services for dually diagnosed individuals.

    LICENSES & CERTIFICATIONS*:
        Valid Hawaii driver’s license
    Safe driving record as documented by a Traffic Abstract
    Current vehicle insurance & safety inspection
    Criminal Background Check

    *Must be completed and documentation provided within 30 days of hire.

    PHYSICAL DEMANDS:
    The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
        May occasionally be required to lift up to 25 pounds in a work environment.
        Must talk and hear frequently for telephone use and basic communication.
        Must frequently sit, stand, walk, climb stairs, stoop, bend, reach and twist.
        Must be able to drive to different locations, which requires the use of a personal vehicle.

    WORK ENVIRONMENT:
    Variable, depending on need.

  • 10 Days Ago

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Registered Nurse - Case Management- Case Manager
  • American Mobile Healthcare
  • Honolulu, HI OTHER
  • Job DetailsBehavior Health department The Case Manager RN is responsible to monitor, coordinate, and facilitate the clinical management for an assigned patient population from admission to discharge t...
  • 18 Days Ago

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Registered Nurse – Case Management- Case Manager
  • AMNHealthcare
  • HONOLULU, HI FULL_TIME
  • Behavior Health department The Case Manager RN is responsible to monitor, coordinate, and facilitate the clinical management for an assigned patient population from admission to discharge to optimize ...
  • 13 Days Ago

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Registered Nurse / Case Management Exp
  • Cross Country Healthcare
  • Honolulu, HI FULL_TIME
  • Job DescriptionAs a case management nurse (RN CM), you will collaborate with the healthcare team to assess, plan, facilitate and coordinate care for individual patients. Working within and outside of ...
  • 18 Days Ago

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Coordinator Patient Care - Case Management
  • Kaiser Permanente
  • Honolulu, HI OTHER
  • Job Summary:Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all...
  • 11 Days Ago

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RN Case Manager (Home Health)
  • Ohana Pacific Management Company Inc
  • Honolulu, HI FULL_TIME
  • Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company:We are Ohana Pacific Health. We positively impact thousands of liv...
  • 8 Days Ago

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Case Management Director II
  • Encompass Health
  • Montgomery, AL
  • Sign on Bonus $10,000. 00 As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the...
  • 4/26/2024 12:00:00 AM

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Case Management Director II
  • Encompass Health
  • Parkersburg, WV
  • As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the day to day operations and...
  • 4/26/2024 12:00:00 AM

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Case Management Director
  • Theron Solutions
  • Job Insights: Graduate of a program of Registered Nursing. Bachelor of Science in Nursing degree preferred. Minimum of t...
  • 4/26/2024 12:00:00 AM

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Case Management Director II
  • Encompass Health
  • Prosper, TX
  • As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the day to day operations and...
  • 4/25/2024 12:00:00 AM

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Case Management Director II
  • Encompass Health
  • Murrieta, CA
  • Salary Range: $115k - $130k As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for t...
  • 4/24/2024 12:00:00 AM

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Case Management Director II
  • Encompass Health
  • Mesa, AZ
  • As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the day to day operations and...
  • 4/23/2024 12:00:00 AM

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Case Management Director II
  • Encompass Health
  • Las Vegas, NV
  • As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the day to day operations and...
  • 4/23/2024 12:00:00 AM

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Case Management Director
  • Maria Parham Health
  • Henderson, NC
  • Maria Parham Health Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are ...
  • 4/22/2024 12:00:00 AM

Hawaii (/həˈwaɪi/ (listen) hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi]) is the 50th and most recent state to have joined the United States, having received statehood on August 21, 1959. Hawaii is the only U.S. state located in Oceania, the only U.S. state located outside North America, and the only one composed entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean. The state encompasses nearly the entire volcanic Hawaiian archipelago, which comprises hundreds of islands spread over 1,500 miles (2,400 km). At the southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Case Management Director jobs
$157,433 to $221,079

Case Management Director in Greenville, SC
Reporting to the Regional Vice President of Case Management, the Executive Director of Case Management will oversee case management services over three or more hospitals as well as collaborating with the VP to implement system-wide initiatives.
January 15, 2020
Case Management Director in Las Vegas, NV
Are there special trainings or certifications recommended or required for case managers? Most hospitals don’t require their case managers to have master’s degrees, but many facilities prefer them to earn the designation of CCM (certified case manager).
December 06, 2019
Case Management Director in Macon, GA
With the aging population and more people aging in place at home, how has the role of the case manager changed? With changes in the aging population and the insurance plans that cover them, we’re really like a task force that finds ways to connect patients with the resources they need to prevent illness and hospitalization.
December 16, 2019