A company is looking for a Director of Case Management-Utilization Review.Key Responsibilities : Directs and supervises case management, social services, and revenue integrity personnelPromotes quality, cost-effective care and manages patient transitions to lower levels of careEducates the healthcare team on resources, regulatory compliance, and financial issuesRequired Qualifications, Training, and Education : Bachelor's Degree in a relevant field is requiredMaster of Science in Nursing (MSN) or Master of Social Work (MSW) is required5 to 7 years of progressive leadership experience, with at least 4 years in case managementCurrent RN License or Licensed Master Social Worker (LMSW) from the Oklahoma State BoardKnowledge of community resources and third-party payer issues related to reimbursement
Director of Case Management - Direct Hire - Days - San Ramon, CA
Virtus Healthcare Staffing is partnering with a leading regional medical center in the thriving San Ramon, CA, area to find a visionary and results-oriented Director of Case Management. Your Impact as a Director of Case Management:. As a Director of Case Management, you will:. Join Virtus Healthcare...
Director of Case Management
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 prev...
Director, Office of Emergency Management - Tri-Valley
This position is responsible for management oversite of daily and emergency operations, EM staff management, planning, inventory, machinery, tools, and other resources, and has financial management oversite in tandem with the Vice President of Operations. The Director is responsible to develop a clo...
Case Management - Nurse, Senior (CA Children's Health)
Perform care management/care coordination for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medi-Cal and CCS/EIES/DDS/ECM Eligibility guidelines . Ensure discharge (DC) planning at ...
Senior Director of Product Management - AI ML Solutions
Ushur is looking for an experienced Senior Director of Product Manager of Artificial Intelligence and Machine Learning Solutions who is excited to help build the future of AI-powered Customer Experience Automation. Minimum of 4-6 years of Product Management experience. Ushur is fast becoming the pla...
Case Management - Nurse, Senior (Maternity)
Conducts member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgem...
Director of Dell Partner Management
The Director, Partner Management will be responsible for managing our key partner relationships within the Sales organization. Below, you will find a complete breakdown of everything required of potential candidates, as well as how to apply Good luck. Each day we build on our values of respect, inte...
Case Management - Nurse, Consultant
Conducts member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases. The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. Care Managers perf...
Director Case Management
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 prev...
Director of Project Management Rack and Cooling Solutions
The Director of Project Management for Rack and Cooling Solutions is responsible for managing product design, redesign, and test development projects to support customers cooling programs in the data center ecosystem. The candidate must have experience in the end-to-end process of project planning, ...