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Head of Case Management Operations
2 months ago
Orion Groups is a distinguished professional services firm located in McKinney, TX, dedicated to 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 prioritize understanding and delivering value tailored to your specific requirements.
POSITION SUMMARY
We are currently seeking a Director of Case Management to join a national healthcare organization.
The Director will play a pivotal role in enhancing and implementing the Case Management strategy, serving as a leader, mentor, and consultant.
KEY LOCATION
Detroit, Michigan
COMPENSATION
$120,000 – $140,000 annually
PRIMARY RESPONSIBILITIES
- Lead the execution of the strategic plan while providing expert guidance on Case Management regulations and standards, ensuring adherence to all relevant state and federal guidelines.
- Oversee the effective use of resources, ensuring timely and precise revenue cycle processes, denial prevention, and safe 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 resource for information, collaborating with physicians, allied health professionals, administrative staff, finance department personnel, supply chain teams, vendors, and other stakeholders.
QUALIFICATIONS
- Minimum of 5 years of experience in hospital revenue cycle operations.
- At least 5 years of leadership experience in 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) is preferred.
- Bachelor's degree in Business, Nursing, or Healthcare Administration; a Master's degree is 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.