Director of Case Management FT Days
Tenet Healthcare
Salary: $145K + All the benefits
Location: Rock Hill, South Carolina
Responsibilities
The individual’s responsibilities include the following activities:
a) manage department operations to assure effective throughput and reimbursement for services provided,
b) lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement,
c) ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and the hospital's policy,
d) ensure timely and effective patient transition and planning to support efficient patient throughput,
e) implement and monitor processes to prevent payer disputes,
f) develop and provide physician education and feedback on hospital utilization,
g) participate in management of post-acute provider network,
h) ensure compliance with state and federal regulations and TJC accreditation standards and
i) other duties as assigned.
Qualifications
Education:
Required: Bachelor's degree in business, Nursing or Health Care Administration for RN or master's in social work for MSW
Preferred: MSN, MBA, MSW, or MHA
Minimum Education: BSN or LMSW required, MSN preferred, willing to pursue Masters.
Minimum Experience: Five to seven years of experience with utilization review, clinical pathways, case management, and disease management are required. Supervisory experience is preferred.
Required: 3 years of acute hospital case management or healthcare leadership experience
Job Type: Full-time
Pay: $100,000.00 - $145,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Relocation assistance
- Tuition reimbursement
- Vision insurance
Schedule:
Application Question(s):
- If you are interested, please provide your phone number, email and suggest the best time to reach you?
Education:
Experience:
- Case management: 4 years (Preferred)
Work Location: In person