Director Case Management FT Days

Work Hours/Shifts
Florida Hospital New Smyrna:
Since 1954, Florida Hospital New Smyrna (formerly Bert Fish Medical Center) has served as the community hospital for Southeast Volusia County. Our more than 700 employees use an impressive array of technology and years of knowledge to provide exceptional care for every patient ? every day. We offer a wide range of services, including a surgery program, radiology, an oncology center, cardiovascular services, a wound care center, outpatient diagnostic services, and one of the busiest emergency departments of any hospital our size.
You will be responsible for:
+ Directs supervises and evaluates the operations of the Case Management, Social Services and Denial Management/Recovery Audit Contractor (RAC)/Nurse Auditing programs for Florida Hospital New Smyrna.
+ Is responsible for annual budget development, new program development, establishing department policies and procedures, department goals and objectives.Maintains quality assurance.
+ Promotes and coordinates department Quality Improvement and coordinates activities with other departments to provide and maintain optimal standards of patient care.
+ Responsibilities include the assurance that the staff adheres to the Florida Hospital New Smyrna Corporate Compliance Program, to the rules and regulations of all local, state and federal guidelines and to the standards of accrediting bodies.
What will you need?
+ Current Florida RN required
+ Minimum of five years of clinical nursing experience required.
+ Knowledge of Interqual and Milleman criteria sets, Medicare and Medicaid rules and regulations, payment systems and commercial contracts required.
+ Five years of experience as Case Management Manager or Director is required.
+ Certification in Case Management required, ACM or CCM is preferred
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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