Director of Case Management

Director of Case Management

Gainesville, FL

Our client is committed to providing our employees with the support they need. They offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:

• Student Loan Repayment*
• Tuition Reimbursement/Assistance Programs*
• Paid Personal Leave
• 401k (100% annual match – 3% to 9% of pay based on years of service)
• Identity Theft Protection discounts
• Auto, Home, and Life Insurance options
• Adoption Assistance
• Employee Stock Purchase Program (ESPP)*

Our Client is a 400+ bed, full-service medical and surgical acute care hospital near Gainesville, Florida. Known for having the shortest wait time of all emergency facilities in the area, this large health system facility specializes in cardiovascular care, oncology, wound therapy, and more. The Center also recently opened two state-of-the-art, freestanding emergency rooms.

• Coordinates the collaborative case management process.
• Assists with providing statistical data for Medical Staff Committees as requested, related to Utilization Review Management.
• Prepares reports for committees in cooperation with the Chair of the URM committee.
• Monitors qualitative/quantitative indicators per Inter Qual criteria, appropriateness of admissions and utilization of resources.
• Analyses data for trends of improvement and/or areas of concern and recommends appropriate actions related to case management throughout the continuum of care.

Education:

• FL RN license required or appropriate compact licensure. If compact license held, active FL RN license required within 90 days of hire.
• CCM Certification is preferred.
• Graduate of an accredited school of nursing as an RN required; BSN, MSN, or MBA degree in related field preferred.