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Director, Case Management (RN)
Ref No.: 17-02036
Category: Permanent Placement
Location: Fort Worth, Texas
Leading Health Plan with a highly professional office environment is seeking a Director, Case Management (RN) near Fort Worth. Position will be Mon-Fri, daytime business hours in team-based, positive and professional office.

Director, Case Management (RN)

Job Description:
  • Responsible for leadership, strategy and performance of the Utilization and Case Management team
  • Planning, organizing, implementation, and management of all Health Plan care management functions.
  • Director will be in charge of monitoring the Case Management and LTSS Program to assure compliance with the requirements of external regulatory and accreditation agencies.
  • Responsible for management and oversight of Case Management operations and related programs related to the provision of the full scope of case management to Enrollees assigned to this Program and employees assigned to the Department to carry out the responsibilities of the Program.
  • The position is directly responsible for managing the daily operations of the Program and Department and interfacing with Employer's programs

Qualifications:
  • TX RN (Registered Nurse) required - or ability to obtain
  • BSN/MSN strongly preferred
  • 5+ years of similar experience in Managed Care environment
  • 8+ years clinical experience required, ideally in pediatric environment
  • LTSS/MLTC and clinical utilization program management REQUIRED
  • Excellent time management and prioritization skills to focus on multiple projects simultaneously and adapt to change.
  • Excellent oral and written communication skills.
  • Strong personal computer skills, including working knowledge of Microsoft Office suite.

Compensation:
  • Competitive Six Figure Salary plus bonus, flexible based on experience
  • Full benefits package
  • Relocation assistance