Interim RN Director Case Management and Utilization Management

4 weeks ago

Towson, United States Ascension Full time

Details

Department:

Ascension Interim Leadership Travel Program Schedule:

Monday - Friday, 8am-5pm, on call as needed Hospital:

St. Agnes Location:

Baltimore, Maryland This is an internal Interim contract for 3-6 months. Benefits

Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community *Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics. Responsibilities

Case Management: Provides leadership to and actively participates with facility staff to identify, implement, or enhance CM programs consistent with Ascension and Market strategy Identifies process improvement opportunities; develops, implements, monitors, and revises action plans Actively seeks to identify and share best practices • Disseminates information accurately and timely with multiple audiences; leads regularly scheduled communication sessions with hospital CM Directors Facilitates CM education within the Market; provides orientation and onboarding support to new hospital CM leaders Identifies and proposes opportunities to improve current technology or identifies new technology to enhance performance and productivity Escalates issues to Market leadership and Sr Dir of CM as appropriate • Performs other duties as assigned Utilization Management: Ensures integration of utilization management functions with network strategy and claims processing. Oversees work with provider relations on resolving issues. Manages activities related to staffing, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. Develops systems and processes for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients to implement and manage comprehensive outpatient and inpatient utilization management programs. Oversees implementation and maintenance of prior authorization codes for all clients. Requirements

Licensure / Certification / Registration: BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date required. Education: Bachelor's degree in nursing or diploma from an accredited school/college of nursing required. Master's degree or combination of Bachelor's degree and experience preferred. Work Experience: 5 years of experience required. 10 years of experience preferred. 2 years of leadership or management experience required. 5 years of leadership or management experience preferred. Additional Preferences

Master's preferred. Certified as ACM-RN or CCM preferred. Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. Equal Employment Opportunity Employer

Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws. For further information, view the

EEO Know Your Rights (English)

poster or

EEO Know Your Rights (Spanish)

poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Pay Non-Discrimination Notice Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify

#J-18808-Ljbffr

  • Interim RN Director Case Management and Utilization Management

    3 weeks ago

    Towson, United States Ascension Full time

    Details Department: Ascension Interim Leadership Travel ProgramSchedule: Monday - Friday, 8am-5pm, on call as neededHospital: St. AgnesLocation: Baltimore, MarylandThis is an internal Interim contract for 3-6 months.Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...

  • Director Case Management

    3 weeks ago

    Towson, United States University of Maryland Medical System Full time

    Job Description General Summary The Director's primary responsibilities include management of all case management from pre-admission through post-discharge associated with the University of Maryland, St. Joseph Medical Center inpatient units, specialty outpatient units and emergency department. This position has responsibility for daily operations management...

  • Director Case Management

    1 week ago

    Towson, United States University of Maryland Medical System Full time

    Job Description General Summary The Director's primary responsibilities include management of all case management from pre-admission through post-discharge associated with the University of Maryland, St. Joseph Medical Center inpatient units, specialty outpatient units and emergency department. This position has responsibility for daily operations management...

  • Director Case Management

    2 weeks ago

    Towson, United States University of Maryland Medical System Full time

    Internal Number: REF24971K Job Description General Summary The Director's primary responsibilities include management of all case management from pre-admission through post-discharge associated with the University of Maryland, St. Joseph Medical Center inpatient units, specialty outpatient units and emergency department. This position has...

  • Director Case Management

    7 days ago

    Towson, United States University of Maryland Medical System Full time

    Internal Number: REF24971K Job Description General Summary The Director's primary responsibilities include management of all case management from pre-admission through post-discharge associated with the University of Maryland, St. Joseph Medical Center inpatient units, specialty outpatient units and emergency department. This position has...

  • Director Case Management

    3 weeks ago

    Towson, United States The University of Maryland Medical System Full time

    When you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team of healthcare...

  • Director Case Management

    3 weeks ago

    Towson, United States UMMS Executive Search Full time

    Job DescriptionJob DescriptionCompany DescriptionWhen you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and...

  • Director Case Management

    1 week ago

    Towson, United States UMMS Executive Search Full time

    Job DescriptionJob DescriptionCompany DescriptionWhen you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and...

  • Entry Level Client Relations Manager

    1 week ago

    Towson, United States DreamCrafters Management Full time

    Job DescriptionJob DescriptionAt Dreamcrafters Management, we value our partnered clients and share their vision of growth. Our success in creating these long-lasting promising business relationships is due to our dedicated Client Relations and Customer Service Team. Their determined efforts in providing our clients with excellent customer service has...

  • Entry Level Client Relations Manager

    7 days ago

    Towson, United States DreamCrafters Management Full time

    Job DescriptionJob DescriptionAt Dreamcrafters Management, we value our partnered clients and share their vision of growth. Our success in creating these long-lasting promising business relationships is due to our dedicated Client Relations and Customer Service Team. Their determined efforts in providing our clients with excellent customer service has...

  • Property Management Administrative Support

    2 months ago

    Towson, United States Pelican Property Management Full time

    Benefits: 401(k) Health insurance Opportunity for advancement Paid time off Assist the Community Association Managers (COA) with physical, financial, administrative, and public relations management. In addition, assist the COA with the community Board of Directors in enforcing the corporation’s bylaws, declaration, rules, and regulations. Looking for a...

  • Property Management Administrative Support

    2 months ago

    Towson, United States Pelican Property Management Full time

    Benefits:401(k)Health insuranceOpportunity for advancementPaid time offAssist the Community Association Managers (COA) with physical, financial, administrative, and public relations management. In addition, assist the COA with the community Board of Directors in enforcing the corporation's bylaws, declaration, rules, and regulations.Looking for a qualified...

  • Property Management Administrative Support

    2 months ago

    Towson, United States Pelican Property Management Full time

    Job DescriptionJob DescriptionBenefits:401(k)Health insuranceOpportunity for advancementPaid time off Assist the Community Association Managers (COA) with physical, financial, administrative, and public relations management. In addition, assist the COA with the community Board of Directors in enforcing the corporations bylaws, declaration, rules, and...

  • Property Management Administrative Support

    2 weeks ago

    Towson, United States Pelican Property Management Full time

    Benefits:401(k)Health insuranceOpportunity for advancementPaid time offAssist the Community Association Managers (COA) with physical, financial, administrative, and public relations management. In addition, assist the COA with the community Board of Directors in enforcing the corporation's bylaws, declaration, rules, and regulations.Looking for a qualified...

  • Management Trainee

    2 weeks ago

    Towson, United States DreamCrafters Management Full time

    Job DescriptionJob DescriptionWe are on a mission to find a high-performing, ambitious individual to have an immediate opportunity as a Management Trainee with us. Aspiring leaders looking for a supportive culture with individualized training tailored towards their learning abilities will thrive as part of a winning Management Trainee team.With our footprint...

  • Management Trainee

    2 weeks ago

    Towson, United States DreamCrafters Management Full time

    Job DescriptionJob DescriptionWe are on a mission to find a high-performing, ambitious individual to have an immediate opportunity as a Management Trainee with us. Aspiring leaders looking for a supportive culture with individualized training tailored towards their learning abilities will thrive as part of a winning Management Trainee team.With our footprint...

  • Marketing Management

    4 weeks ago

    Towson, United States DreamCrafters Management Full time

    Job DescriptionJob DescriptionFor those who find themselves eager to express their creativity, live an active lifestyle, and are unafraid to stand out, DreamCrafters Management has the job for you! There are hundreds of brands out there and thousands of products and services. There is an even wider variety of companies to choose from when bringing one's...

  • Training and Operations Manager

    7 days ago

    Towson, United States DreamCrafters Management Full time

    Job DescriptionJob DescriptionDreamcrafters Management is looking for a self-driven individual to join our management team to continue facilitating the success we’ve seen within our teams and the consulting services we provide. For our organization to continue witnessing the advancement of our clients, we need the ideal candidate to be developed into a...

  • Sales Account Manager

    7 days ago

    Towson, United States DreamCrafters Management Full time

    Job DescriptionJob DescriptionDreamcrafters Management is one of the most prominent consulting and sales firms in the Colombia area.  Our data-driven results have made us one of the leaders in customer acquisition. Due to our increasing clientele, we have expanded our organization from a team of 5 to over 30 this year alone. Our hope is to develop into...

  • RN Care Manager Weekend

    3 weeks ago

    Towson, United States Greater Baltimore Medical Center Full time

    RN Care Manager WeekendUnder general supervision, manages and coordinates process of care for inpatients to facilitate quality cost-effective patient outcomes. Works collaboratively with interdisciplinary staff internal and external to the organization. Coordinates with payer and physicians to ensure the maximum reimbursement for the hospital through the...