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Director of Case Management

UT Health Tyler

Tyler, TX
2 days ago

Job Description

The Director of Case Management at UT Health Tyler will oversee case management services, ensuring effective resource utilization and compliance with regulations. This leadership role focuses on fostering collaboration across departments and implementing strategies to improve patient throughput and care transitions.

Key Responsibilities

  • Formulate and implement operational strategies for hospital case management
  • Oversee the Case Management team to ensure compliance with standards and regulations
  • Develop collaboration between Case Management Departments and Medical Staff
  • Coordinate all Utilization Management Committee activities
  • Work with Revenue Cycle teams on audits and denials
  • Analyze data related to length of stay and readmissions

Required Qualifications

  • RN with 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)