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Responsibilities:
Manage department operations to assure effective throughput and reimbursement for services provided,
lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and hospital policy, ensure timely and effective patient transition and planning to support efficient patient throughput, implement and monitor processes to prevent payer disputes, develop and provide physician education and feedback on hospital utilization, participate in management of post-acute provider network, ensure compliance with state and federal regulations and TJC accreditation standards.
QUALIFICATIONS:
**** Bachelor’s degree in business, Nursing or Health Care for RN or master’s in social work for MSW.
**** Preferred: MSN, MBA, MSW or MHA.
**** Required: 3 years of acute hospital case management or healthcare leadership experience.
**** Preferred: 5 years of acute hospital case management leadership multi-site experience
Certification:
**** Required: Registered Nurse or LCSW/LMSW license.
**** Must be currently licensed, certified or registered to practice profession
**** Active RN or LCSW/LMSW license for state(s) covered.
**** Preferred: Accredited Case Manager (ACM)
Job Type: Full-time
Pay: $172,500.98 - $230,000.00 per year
Benefits:
Schedule:
Supplemental pay types:
License/Certification:
Ability to Commute:
Ability to Relocate:
Work Location: In person
Full Time
$143k-185k (estimate)
05/28/2024
09/24/2024
www.talentmoversinc.com
Mc Lean, Virginia
<25
Diane Caballa
The job skills required for Director Case Management include Case Management, Leadership, Planning, Social Work, Utilization Management, etc. Having related job skills and expertise will give you an advantage when applying to be a Director Case Management. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Director Case Management. Select any job title you are interested in and start to search job requirements.