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Director of Case Management

UT Health Tyler

Tyler, TX
7 days ago

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Job Description

Join UT Health Tyler as the Director of Case Management, where you will lead hospital case management and social work operations, ensuring effective resource utilization and compliance with regulations. Collaborate with healthcare partners to enhance patient throughput and revenue cycle processes, driving excellence in care management.

Key Responsibilities

  • Formulate and implement operational strategies and initiatives
  • Oversight of the facility’s Case Management team
  • Develop and foster collaboration between departments
  • Work closely with providers and physician advisors
  • Coordinate UM Committee activities
  • Participate in appeals processes
  • Analyze length of stay and readmissions data
  • Introduce evidence-based practices for improvement
  • Conduct regular staff meetings for training and updates

Required Qualifications

  • RN, Associates degree in nursing or higher
  • Social Work degree, BSW or higher
  • 3 years’ experience in a case management leadership role

Preferred Qualifications

  • 2 years’ experience in acute hospital-based case management
  • Certification in case management (ACM or CCM)