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Director of Case Management
4 weeks ago
Job Details
POSITION SUMMARY
Director of Case Management
POSITION DUTIES
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Oversight of the Facility's Case Management team to ensure compliance with standards of practice and other regulatory requirements related to care management and utilization review.
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Develop and foster effective collaboration between Case Management Departments, Medical Staff, corporate and facility leaders to ensure an integrated approach to providing care while fulfilling the hospital's goals and objectives.
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Display an ability to work effectively within the health system's decision making and organizational structures.
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Work closely with providers as well as internal and external physician advisors for utilization review and management activities
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Coordinate all UM Committee activities to ensure compliance with meeting frequency and documentation of activity and outcomes
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Work collaboratively with Revenue Cycle teams and participates in task force meetings related to medical necessity audits and denials.
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Participate in appeals processes and work collaboratively with vendors to ensure the effectiveness and timeliness of appeals
MINIMUM REQUIRED QUALIFICATIONS
Minimum 3years of Director experience at an acute care facility
RN compact or Oklahoma state license
PREFERED QUALIFICATIONS
Certification in Case Management or Utilization Review
LENGTH OF ASSIGNMENT
Direct Hire
SHIFT / HOURS PER WEEK
M-F 8a-5p
SYSTEMS
Not Listed
START DATE
3/25/2024
Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary-but the perks don't stop there. There are many additional benefits to enjoy, including:
- Medical, dental and vision benefits
- Earned time off and paid holidays
- Paid continuing education time
- 401(K) retirement planning
- Short-term disability, life insurance, paid jury duty
- Access to the largest network of facilities and providers in the country
- Industry experienced workforce management team
- Licensure and certification reimbursement
About Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
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