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CategoryHealthcare
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No of Jobs1
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Apply Before12/08/2025
Description
Director Care Managment
MERIT HEALTH WESLEY - Hattiesburg, MS
Job Title: Director Care Managment
Position: Overseeing the implementation, development, and management of the Care Management and Resource Management programs.
Job Type:
Pay:
Shift:
Work Type:
Location
Address:
City: Hattiesburg
State: MS
ZIP Code:
Job Responsibilities
- Oversees the implementation and maintenance of an effective and compliant Care Management program that meets all regulatory and accreditation standards.
- Provides leadership and direction to staff, ensuring accountability for duties and adherence to roles within their scope of practice.
- Conducts chart reviews to evaluate severity of illness (SI) and intensity of services (IS) for admissions, continued stays, and discharge planning.
- Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up.
- Identifies avoidable days and implements communication systems to address and resolve them effectively.
- Coordinates discharge planning and social services functions to ensure compliance with federal and state laws and Joint Commission standards.
- Acts as a liaison to community agencies, providing resources and services for post-hospital placement and support.
- Ensures accurate and timely reporting of CPS (Child Protective Services) or APS (Adult Protective Services) cases as mandated, and educates staff on mandatory reporting requirements.
- Interprets and enforces policies and regulations set by CMS, Joint Commission, and other governing bodies, ensuring department compliance.
- Participates actively in Patient Care Conferences and Length of Stay (LOS) meetings to support efficient care delivery and discharge planning.
- Performs other duties as assigned.
- Complies with all policies and standards.
Required Skills
Core Skills
- In-depth knowledge of care management principles, discharge planning, and regulatory compliance requirements.
- Strong leadership and team-building skills to guide and motivate staff.
- Excellent communication and interpersonal skills to collaborate effectively with multidisciplinary teams and external partners.
- Analytical and problem-solving skills to address complex patient care and operational issues.
- Proficiency in electronic medical records (EMR) and care management software.
- Commitment to patient-centered care and continuous quality improvement.
Preferred Skills
- Not specified
Requirements
Experience: 4-6 years of clinical nursing experience required; 3-5 years of experience in care management or utilization review required; 1-3 years of leadership experience in a healthcare setting required.
Education: Bachelor's Degree in Nursing required; Master's Degree in Nursing, Healthcare Administration, or a related field preferred.
License & Certification:
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
- BCLS - Basic Life Support within seven (7) days of hire or transfer to position required
Schedule:
- Not specified
COVID-19 Requirements: Not Specified
Benefits
- Competitive salary
- Comprehensive benefit package
- Growth opportunities
- 401(k)
- PTO
- Medical
- Dental
- Flex spending
- Life and disability insurance
Supplemental Pay
- Not specified
Special Notes
- Not specified
Facility Details
Name: MERIT HEALTH WESLEY
Description: Not Specified
Specialties:
- Not specified
Mission: Not Specified
Job Info
Discipline:
Department:
Status:
Sourcing
Duration:
Experience:
Career Level:
No of Jobs:
1
Apply Before:
12/08/2025
Posted:
09/08/2025
