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Case Manager/Utilization Review Specialist
2 months ago
Madera Community Hospital is seeking a highly skilled and experienced professional to lead our Case Management Program. As a key member of our healthcare team, you will be responsible for overseeing the utilization management, quality management, discharge planning, and pathways to ensure the highest level of patient care and satisfaction.
Key Responsibilities:
- Develop and implement a comprehensive quality improvement plan to enhance patient safety and quality care.
- Collaborate with medical staff, patient care, and other department staff to ensure seamless communication and coordination.
- Establish and maintain effective relationships with healthcare providers, payers, and other stakeholders to ensure optimal patient outcomes.
- Monitor and analyze data to identify trends and areas for improvement, and develop strategies to address these issues.
- Provide education and training to staff on quality improvement initiatives and best practices.
Requirements:
- Bachelor's degree in a health-related field, with a Master's degree preferred.
- At least three years of supervisory experience in quality management, utilization management, risk management, discharge planning, or case management.
- Strong knowledge of healthcare reimbursement issues, electronic medical records, and Microsoft Office applications.
- Current California Board of Nursing Registered Nurse License, American Heart Association BCLS Certificate, and California DMV License with a clean driving record.
What We Offer:
Madera Community Hospital offers a competitive salary range of $124,800-$149,760, as well as opportunities for professional growth and development in a dynamic and supportive work environment.
