Key Responsibilities:

Oversees a staff of case managers responsible for patient care coordination.

Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation.

Evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards.

Seeks treatments that balance clinical and financial concerns with the family's needs and the patient's quality of life.

Relies on extensive experience and judgment to plan and accomplish goals.

Performs a variety of tasks.

Leads and directs the work of others.

A wide degree of creativity and latitude is required. Typically reports to top management.

Requires certification as a registered nurse with at least 7-10 years of clinical experience.

Familiar with standard concepts, practices, and procedures within a particular field.