Case Management Director Position Available In Henderson, North Carolina

Case Management Director
Hendersonville, NC
AdventHealth Hendersonville

Job Schedule:

Full-time

Pay Range:

$42.13 – $78.36 per hour

Job ID:

25015662

Job Family:

Case Management

Shift:

1 – Day
Facilities
Benefits
Hiring Process
When our patients visit the hospital, we know they need more than expert care. They need someone who can provide reassurance at every step of their visit. And that’s the type of care we’re honored to provide at AdventHealth Hendersonville. At AdventHealth Hendersonville, we make a difference. We help patients feel better. We bring grace to families. And we support our fellow team members. We do this by caring for the body, mind and spirit of each life we touch. Through the guiding principles of Christ, each team member brings their own experiences and unique skills to provide exceptional care right here in the hills of North Carolina. When you’re ready to take the next step in your career to provide lifesaving care, learn more about the open positions at our hospital in Henderson County.
Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.
All the benefits and perks you need for you and your family:
Benefits from Day One
Paid Days Off from Day One
Student Loan Repayment Program
Career Development

Schedule:

Shift :

Location:

100 Hospital Drive, Hendersonville, NC 28792
The community you’ll be caring for: AdventHealth Hendersonville
Convenient access, with locations across Western North Carolina
Beautiful mountain scenery
Historic towns and cities full of specialty shops, art galleries and unique restaurants
Fresh produce available at farmers’ markets and U-picks
Special events to enjoy in every season
T he role you’ll contribute:
Supervise Case Managers and Discharge Planners who follow patients from pre-admission through discharge to home, nursing/rehab facility or home care program. Assure appropriate discharge planning for the patient and family and comply with all regulatory and financial guidelines. Oversee utilization review, house supervisor and discharge planning
The value you’ll bring to the team:
Maintains and utilizes current knowledge of utilization review criteria and reimbursement guidelines to serve as a resource person for the Care Management Department. Acts as a resource for medical staff, interpreting requirements of federal, state and third-party payer guidelines for coverage.
Identifies potential for over and underutilization of hospital resources, non-acute and potentially avoidable days, takes appropriate interventions, trends and reports data.
Collaborates with nursing and other clinical staff to achieve optimal clinical outcomes.
Conducts multidisciplinary case conference to promote communication about patient status and future plans and to assure coordination of care.
Demonstrates appropriate clinical knowledge in order to assist physicians in providing complete documentation of severity of illness and intensity of services in order to assure that criteria for acute hospitalization are met. Acts as a liaison with physicians to assure that aspects of treatment are fully documented and to assist in identifying other options for care when acute hospitalization is no longer required. Interacts appropriately with physicians, providing information, suggesting alternatives, and assisting in securing timely referrals.
Secures physician advisor reviews on a timely basis in cases of potential denial of medical necessity for admissions or continued stay. Provides feedback regarding potential risk and participates in the process of delivering notices of non-coverage.
Continually evaluates opportunities to make the case management system more effective. Identifies suggested improvements to the system by using information from outcomes analysis.
Promotes case management through role modeling and the education of other staff members on case management benefits and concept.
Qualifications
The expertise and experiences you’ll need to succeed:
Master’s in Healthcare, Leadership or Business Required
2 Medical and surgical experience Required
4 Supervisory or leadership experience Preferred
RN – Registered Nurse – State Licensure and/or Compact State Licensure Current North Carolina state licensure Required
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category:

Case Management

Organization:

AdventHealth Hendersonville

Schedule:

Full-time

Shift:

1 – Day

Req ID:

25015662
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Internal Employees Apply Here
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.