Director Care Mgmt

Responsibilities

• Oversees the Care Management program and coordinates and integrates patient care outcomes, resource utilization and treatment patterns, discharge planning, social services, psychosocial assessment, and therapeutic interventions.
• Aids in developing and implementing policies and procedures, monitors Care Management reports, and assists in the development of alternative care methods.
• Incorporates differences into the provision of care.

Qualifications

• Three or more years of recent acute care experience.
• Five years demonstrated management in a fast-paced, complex environment.
• Bachelor's degree in Nursing or Social Work.
• Knowledge of fiscal management, department operations, managed care concepts, and strategies, and DRG reimbursement system.
• Ability to convert DRG and Physician Practice pattern data into information which quantifies impact on cost and quality.
• Demonstrated ability to implement new programs and problem-solving mechanisms.
• Knowledge of Medicare/Medicaid and Third Party admission and concurrent review criteria.
• Current license to practice Nursing or Social Work in the State of Louisiana.