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Director Case Management

Company: Nacho
Location: Brownsville
Posted on: February 10, 2020

Job Description:

Manage department operations to assure effective throughput and reimbursement for services providedLead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvementEnsure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policyEnsure timely and effective patient transition and planning to support efficient patient throughputImplement and monitor processes to prevent payer disputesDevelop and provide physician education and feedback on hospital utilizationParticipate in management of post-acute provider networkEnsure compliance with state and federal regulations and TJC accreditation standards, andi) other duties as assigned.QualificationsEducationRequiredPreferred BS/BSN preferred (BSN required if Magnet Hospital). MSN, MBA or MHA preferred.ExperienceRequired Two (2) years in Case Management Leadership.Preferred Five (5) years acute hospital case management experience preferred. Business planning experience preferred. McKesson InterQual-- -- experience preferred.

Keywords: Nacho, Brownsville , Director Case Management, Executive , Brownsville, Texas

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