Director of Case Management
Location: Nevada
Description: North Vista Hospital is currently seeking to employ Director of Case Management right now, this career will be placed in Nevada. More complete informations about this career opportunity please read the description below. Description Facilitates all CM meetings, with focus on target cases (InterQual not met, observation, D/C planning issues, large CM, etc.)
Assists in the review of patient cases (concurrent & retrospective) as required by CM staffing, patient acuity and/or census
Establishes and implements in collaboration with the CNO & Education Coordinator, CM training programs for Nursing, Medical and Ancillary staff
Oversees the case manager's process for completion of indicator and incident reports as events occur. Develops and maintains tracking and reporting of CM indicators and physician report cards as they relate to UR and CM
Reports are generated in a systematic, timely manner
Reports to Corporate, administration, medical staff, department managers, and governing board as required. Coordinates and prepares documentation relative to the appeal and SOS medicaid application process in a systematic and timely manner
Annually reviews and revises (as needed) the Case Management Plan, policies and procedures
Oversees the coordination and implementation of all hospital educational activities in collaboration with the Education Coordinator
Collaborates consistently with appropriate staff members to facilitate delivery of educational programs/ activities
Annually reviews and revises (as needed) the hospitalwide plan for education/training/competency
Employee has willingness and ability to perform additional duties in different areas of the department/hospital on an as-needed basis.
Communicates well with management, co-workers and physicians, reporting problems with equipment, supplies, or procedures
Consistently strives to understand, anticipate and meet the needs, expectations and satisfaction of patients, visitors, co-workers and medical staff
Qualifications:
High School Diploma or GED
Associates Degree in Nursing required
Bachelor's degree in nursing or business administration
Significant experience in case management involving case management/utilization review responsibility in an acute care hospital and/or managed care setting
Must possess a thorough/working knowledge of Medicare, Medicaid and managed care utilization review requirements
Must be familiar with federal, state and accreditation standards as they relate to case & utilization management
Preferably, experience as a Director of Case Management
Nevada RN license
Education Level Associate's
Degree/College Diploma Employee Status
FT 36-40 hrs/wk Paid w/BN w/TA Work Schedule
Job Reference: 4714100
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to North Vista Hospital.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Thu, 05 Jul 2012 23:41:38 GMT