Job was saved successfully.
Job was removed from Saved Jobs.
This job is archived
(Archived) RN Director, Case Management
Last Updated: 7/28/20
Job Description
Looking for a RN Director of Case Management in Eastern MA!
Qualifications:
Education:
BS/BSN required, MSN, MBA or MHA preferred.
Experience:
Required: Two (2) years in Case Management Leadership.
Preferred: Five (5) years acute hospital case management experience preferred. Business planning experience preferred. McKesson InterQual® experience preferred.
Certifications:
Required: Registered Nurse license. Preferred Accredited Case Manager (ACM).
Skills and Certifications:
Hospital Case Management leadership experience
Registered Nurse
Job 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 Tenet 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, andi) other duties as assigned.
Company Details
.jpg){kind=logo}
Boston, Massachusetts, United States
We are a permanent placement healthcare recruiting company located in Boston, MA. We work with hundreds of hospitals and healthcare facilities across the country. We specialize in the recruitment and placement of laboratory professionals, imaging professionals, rehabilitation professionals, nurse practitioners, physician assistants, nurse leaders, nurses, physicians, and healthcare IT professional...