Head of Case Management Operations

1 week ago


Detroit, Michigan, United States Orion Groups Full time

Orion Groups is a distinguished professional services firm located in McKinney, TX, specializing in providing skilled consultants to prominent organizations throughout the United States. Our expertise spans the financial and healthcare sectors, with a strong focus on technology solutions including application development, enterprise software systems, data strategies, integration, and IT infrastructure. We are committed to understanding and delivering value tailored to your specific requirements.

POSITION SUMMARY

We are currently seeking a Director of Case Management for a leading national healthcare organization.

The Director will play a pivotal role in enhancing and executing the Case Management strategy, serving as a leader, mentor, and consultant.

KEY LOCATION

Detroit, Michigan

COMPENSATION

$120,000 – $140,000 annually

PRIMARY RESPONSIBILITIES

  • Implement the strategic plan while providing expertise in Case Management regulations and standards, ensuring adherence to all applicable state and federal guidelines.
  • Optimize resource utilization, oversee timely and accurate revenue cycle processes, prevent denials, and ensure safe and efficient patient throughput.
  • Integrate national standards for Case Management services, including utilization management that supports medical necessity and denial prevention, as well as transition management that promotes appropriate length of stay, readmission prevention, and patient satisfaction.
  • Facilitate care coordination by demonstrating efficiency in throughput while ensuring that care is delivered in the correct sequence and at the appropriate level.
  • Act as a vital information resource, collaborating with physicians, allied health professionals, administrative staff, corporate teams, finance personnel, supply chain staff, vendors, and both internal and external stakeholders.

QUALIFICATIONS

  • Minimum of 5 years' experience in hospital revenue cycle management.
  • At least 5 years' experience in leadership roles within multi-site hospital Case Management.
  • Experience in business planning and project management.

EDUCATIONAL REQUIREMENTS

  • Registered Nurse or LCSW/LMSW license; or relevant experience as approved by the VP of Case Management; Accredited Case Manager (ACM) preferred.
  • Bachelor's degree in Business, Nursing, or Healthcare Administration; Master's degree preferred.

Orion Groups is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law.



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