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Director of Case Management_Worcester, MA_Full-Time(FTE)_Direct Hire
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We've spotted your impressive profile and have an exciting opportunity tailored to your skills and passions.
Position Title: Director of Case Management
Job Type: Full-Time
Location: Worcester, MA
Base Salary: $119,000 to $183,000 + Best-in-class benefits
Industry: Healthcare / Health Services - Hospital Administration
Job Category: Medical / Health - Administration
Responsibilities:
* Manage department operations to assure effective throughput and reimbursement for services provided
* Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement
* Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy
* Ensure timely and effective patient transition and planning to support efficient patient throughput
* develop and provide physician education and feedback on hospital utilization
* other duties as assigned.
Qualifications:
Required:
Education: Bachelor's degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW
Experience: 3 years of acute hospital case management or healthcare leadership experience
Licensure/Certification:
Registered Nurse or LCSW/LMSW license.
Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.
Active RN or LCSW/LMSW license for state(s) covered.
Preferred:
Experience: 5 years of acute hospital case management leadership multi-site experience
Education: MSN, MBA, MSW, or MHA
Licensure/Certification: Accredited Case Manager (ACM)
Compensation:
*Full-time
*Benefits - Full
*Relocation Assistance Available - Possible for ideal candidate
*Interview Travel Reimbursed - Yes
Candidate Details:
*2+ to 5 years experience
*Seniority Level - Director
*Management Experience Required - Yes
*Minimum Education - Bachelor's Degree
Screening Questions:
*Do you have at least 3 years of hospital (acute care) case management experience?
*Do you hold an active nursing or social worker license?
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