Group Director Case Management Lead

15 hours ago


Detroit, Michigan, United States Strivector Full time
Job Title: Group Director Case Management

Strivector is seeking a highly experienced Group Director Case Management to lead our hospital revenue cycle function. As a key member of our team, you will be responsible for executing our strategic plan and providing subject matter expertise on Case Management regulations and standards.

Key Responsibilities:
  • Ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient throughput.
  • Integrate national standards for Case Management scope of services, including utilization management, supporting medical necessity and denial prevention, transition management, promoting appropriate length of stay, readmission prevention, and patient satisfaction.
  • Provide care coordination by demonstrating throughput efficiency while ensuring care is the right sequence and of the appropriate level.
  • Serve as an information resource and work in collaboration with physicians, allied health professionals, administrators, corporate, finance department staff, supply chain staff, vendors, and individual internal and external stakeholders.
Requirements:
  • Minimum of 5 years of experience in hospital revenue cycle function.
  • Five (5) years in hospital Case Management Leadership required.
  • Multi-site hospital case management leadership experience preferred.
  • Business planning and project management experience preferred.
  • Registered Nurse or LCSW/LMSW license; or relevant experience as approved by VP of Case Management required.
  • Accredited Case Manager (ACM) preferred.
What We Offer:
  • Competitive compensation based on experience.
  • Full-time permanent position with benefits.
  • Opportunity to work with a diversified healthcare services company.
Location:

Detroit, Michigan

Relocation accepted.



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