Executive Human Resource Service
Director of Case Management
Executive Human Resource Service, San Ramon, California, United States, 94583
About the job Director of Case Management
EXECUTIVE HUMAN RESOURCE SERVICE
Human Resources Consultants
POSITION:
Director of Case Management - MED#393
JOB CATEGORY:
Healthcare / Medical / Health - Nurse Leadership
INDUSTRY:
Healthcare / Medical / Health - Nurse Leadership
LOCATION:San Francisco / East Bay Area - Northern CARelocation Expense Provided
SALARY: $180K - $230K - Based on Experience
BENEFITS: Full Benefits Provided.
QUALIFICATIONS: Although, Individual are encouraged to apply, the Ideal candidate with the following experience will only be considered.
Requirements for Director of Case Management
Education: Bachelor Degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW.
Preferred: MSN, MBA, MSW or MHA.
Experience: Three (3) years of acute hospital case management or healthcare leadership experience. Preferred, Five (5) years of acute hospital case management leadership multi-site experience
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: Accredited Case Manager (ACM)
SKILLS:
Skills and Abilities Required for
Director of Case Management Clinical Knowledge, Patient Care Management, Case Management Systems, Data Analysis, Budget Management, Strategic Planning, Program Development, Process Improvement, Leadership, Training and Development, Conflict Resolution, Team Management, Communication, Organizational and Administrative Skills, Regulatory Knowledge, Compliance, Quality Assurance, Patient Advocacy,
CAREER OPPORTUNITY
: Executive Human Resource Service, a Certified Women Minority Owned Business Enterprise, and a leading provider of comprehensive human resource solutions for organizations of all sizes. We provide staffing solutions to healthcare facilities across the United States. Our mission is to connect qualified and dedicated healthcare professionals with top-notch facilities to improve patient care and outcomes.
Executive Human Resource Service is privileged to present an exciting opportunity.
Career Opportunity For
Director of Case Management As the Director of Medical Case Management, you will be responsible for leading and managing the case management department, ensuring that patients receive the necessary care in a timely and cost-effective manner.
This role involves developing and implementing case management programs, supervising case management staff, and collaborating with other healthcare providers to optimize patient outcomes.
The Director will ensure compliance with all relevant regulations and standards while working to improve the quality and efficiency of care delivery.
The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.
This position integrates national standards for case management scope of services including:
Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction.
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and hospital policy
Responsibilities Include
The individuals responsibilities include the following activities:
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 hospital policy,Ensure timely and effective patient transition and planning to support efficient patient throughput,Implement and monitor processes to prevent payer disputes,Develop and provide physician education and feedback on hospital utilization,Participate in management of post-acute provider network,Ensure compliance with state and federal regulations and TJC accreditation standards and other duties as assigned.Must be US Citizen or Authorized to Work in the United States
Thank you for taking the time to share this information with your business colleagues. Any inquiries will be held in the strictest confidence. I look forward to hearing from you soon.
Please send resumes in Word Document Format or Email a Word Attachment Only. No PDF Files Please
Send resumes email to:
Executive Human Resource Service
Website: www.ExecutiveHRService.com
Phone: 510-830-9721
Note: Please Reference - Job Title and Job Number
CHECK OUT OTHER CAREERS OPPORTUNITIES AT
EXECUTIVE HUMAN RESOURCE SERVICE
www.ExecutiveHRService.com
WE ARE LOOKING FOR EXECUTIVE PROFESSIONALS!
Executive Human Resource Services is an Executive Recruiting Consultant Enterprise dedicated to helping professionals in furthering their career goals. Success is attributed to personalized service, with the goal of bringing together qualified business professional with quality companies.
Please check the website frequently for update careers opportunities. We have a variety of opportunities available.
Executive Human Resource Service
www.ExecutiveHRService.com
Phone: 510-830-9721
Also please feel free to pass this information along to your network of business colleagues, and if you are looking or know of business professional within your network that is looking for an Executive Human Resources Consultant
Please feel free to send your resume.
Executive Human Resource Service
www.ExecutiveHRService.com
Phone: 510-830-9721
Package Details
BENEFITS:
Full Benefits Provided
EXECUTIVE HUMAN RESOURCE SERVICE
Human Resources Consultants
POSITION:
Director of Case Management - MED#393
JOB CATEGORY:
Healthcare / Medical / Health - Nurse Leadership
INDUSTRY:
Healthcare / Medical / Health - Nurse Leadership
LOCATION:San Francisco / East Bay Area - Northern CARelocation Expense Provided
SALARY: $180K - $230K - Based on Experience
BENEFITS: Full Benefits Provided.
QUALIFICATIONS: Although, Individual are encouraged to apply, the Ideal candidate with the following experience will only be considered.
Requirements for Director of Case Management
Education: Bachelor Degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW.
Preferred: MSN, MBA, MSW or MHA.
Experience: Three (3) years of acute hospital case management or healthcare leadership experience. Preferred, Five (5) years of acute hospital case management leadership multi-site experience
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: Accredited Case Manager (ACM)
SKILLS:
Skills and Abilities Required for
Director of Case Management Clinical Knowledge, Patient Care Management, Case Management Systems, Data Analysis, Budget Management, Strategic Planning, Program Development, Process Improvement, Leadership, Training and Development, Conflict Resolution, Team Management, Communication, Organizational and Administrative Skills, Regulatory Knowledge, Compliance, Quality Assurance, Patient Advocacy,
CAREER OPPORTUNITY
: Executive Human Resource Service, a Certified Women Minority Owned Business Enterprise, and a leading provider of comprehensive human resource solutions for organizations of all sizes. We provide staffing solutions to healthcare facilities across the United States. Our mission is to connect qualified and dedicated healthcare professionals with top-notch facilities to improve patient care and outcomes.
Executive Human Resource Service is privileged to present an exciting opportunity.
Career Opportunity For
Director of Case Management As the Director of Medical Case Management, you will be responsible for leading and managing the case management department, ensuring that patients receive the necessary care in a timely and cost-effective manner.
This role involves developing and implementing case management programs, supervising case management staff, and collaborating with other healthcare providers to optimize patient outcomes.
The Director will ensure compliance with all relevant regulations and standards while working to improve the quality and efficiency of care delivery.
The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.
This position integrates national standards for case management scope of services including:
Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction.
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and hospital policy
Responsibilities Include
The individuals responsibilities include the following activities:
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 hospital policy,Ensure timely and effective patient transition and planning to support efficient patient throughput,Implement and monitor processes to prevent payer disputes,Develop and provide physician education and feedback on hospital utilization,Participate in management of post-acute provider network,Ensure compliance with state and federal regulations and TJC accreditation standards and other duties as assigned.Must be US Citizen or Authorized to Work in the United States
Thank you for taking the time to share this information with your business colleagues. Any inquiries will be held in the strictest confidence. I look forward to hearing from you soon.
Please send resumes in Word Document Format or Email a Word Attachment Only. No PDF Files Please
Send resumes email to:
Executive Human Resource Service
Website: www.ExecutiveHRService.com
Phone: 510-830-9721
Note: Please Reference - Job Title and Job Number
CHECK OUT OTHER CAREERS OPPORTUNITIES AT
EXECUTIVE HUMAN RESOURCE SERVICE
www.ExecutiveHRService.com
WE ARE LOOKING FOR EXECUTIVE PROFESSIONALS!
Executive Human Resource Services is an Executive Recruiting Consultant Enterprise dedicated to helping professionals in furthering their career goals. Success is attributed to personalized service, with the goal of bringing together qualified business professional with quality companies.
Please check the website frequently for update careers opportunities. We have a variety of opportunities available.
Executive Human Resource Service
www.ExecutiveHRService.com
Phone: 510-830-9721
Also please feel free to pass this information along to your network of business colleagues, and if you are looking or know of business professional within your network that is looking for an Executive Human Resources Consultant
Please feel free to send your resume.
Executive Human Resource Service
www.ExecutiveHRService.com
Phone: 510-830-9721
Package Details
BENEFITS:
Full Benefits Provided