Care Management Director
3 days ago
We are seeking an experienced Care Management Director to lead our care management team at Alameda Health System.
About the RoleThis is a full-time day position at Highland General Hospital. The estimated salary for this role is $120,000 - $150,000 per year, depending on experience.
The successful candidate will have a strong background in clinical nursing or social work and at least five years of experience in a directly related setting. They should also have three years of case management experience and two years of experience in a supervisory or lead role.
The Care Management Director will be responsible for managing the day-to-day operations of utilization management, care coordination, and discharge planning activities. They will also oversee the submission of audits and maintain minimal denial rates by Medicare, MediCal, private, and contracted payers.
Responsibilities- Manage and assume responsibility for day-to-day operations of utilization management, care coordination, and discharge planning activities.
- Oversee submission of any audits, including but not limited to MediCal, Medicare, and internal compliance studies.
- Maintain minimal denial rates by Medicare, MediCal, private, and contracted payers through appropriate direction of utilization practices.
- Active licensure as a Registered Nurse in the State of California or licensed in Clinical Social Work in California.
- Active BLS - Basic Life Support Certification issued by the American Heart Association.
- At least five years of clinical nursing or social work experience in a directly related setting.
- Three years of case management experience.
- Two years of experience in a supervisory or lead role.
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Care Management Director
2 weeks ago
Redwood City, California, United States Alameda Health System Full timeAbout the RoleThe Alameda Health System is seeking a skilled Care Management Director to join our team at Highland General Hospital. This full-time position offers a competitive salary range of $115,000 - $145,000 per year.Job SummaryAssist in establishing and implementing care management policies, practices, and procedures in accordance with regulatory...
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Care Management Operations Director
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Care Management Director
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Care Management Leadership Position
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Executive Property Manager Assistant
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Clinical Operations Director
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Utilization Manager
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2 weeks ago
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Utilization Management Specialist
2 weeks ago
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