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Baptist Memorial
Memphis, TN, United States
Manages resource utilization and communication to achieve the organizational goals. Has direct supervisory accountability for all positions, employees, operations, and activities within the assigned patient care area; including coordination staff training, assigning and reviewing work, and evaluating performance independently or in conjunction with
Job Source: Baptist MemorialBaptist Memorial Health Care Corporation
Memphis, TN, United States
Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/o
Job Source: Baptist Memorial Health Care CorporationBaptist Memorial Health Care Corporation
Memphis, TN, United States
Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/o
Job Source: Baptist Memorial Health Care CorporationBaptist Memorial Health Care Corporation
Collierville, TN, United States
Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/o
Job Source: Baptist Memorial Health Care CorporationBaptist Memorial Health Care Corporation
Southaven, MS, United States
Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/o
Job Source: Baptist Memorial Health Care CorporationBaptist Memorial Health Care Corporation
Memphis, TN, United States
Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/o
Job Source: Baptist Memorial Health Care CorporationHighline Aftermarket
Memphis, TN, United States
Director, Category Management - Automotive Chemicals Director, Category Management - Automotive Chemicals The Category Director for Automotive will act as the entrepreneurial general manager responsible for driving growth across Highline Warren’s go-to-market channels. The category directory is the owner of the P&L, and will champion a cross fu
Job Source: Highline AftermarketAdams Keegan
Memphis
Job Description Job Description Company Summary : Our client is a management services company that excels in providing top-tier business services to its wholly and majority-owned operating companies. Our portfolio spans development, engineering, construction, and technology-related businesses. We enable the leadership of our operating companies
Job Source: Adams KeeganMemphis
Job Description Job Description Director of Case Management
Memphis, Tennessee
The Director of Case Management supports the advancement of Case Management. The Director of Case Management performs the functions necessary to support Case Management strategy. The Director of Case Management is responsible for hospital Utilization Management, Transition Management, and operational management of the Case Management Department. The Director of Case Management promotes 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.
Qualifications:
Registered Nurse required
Bachelor's Degree in Nursing of Bachelor's Degree in Healthcare required
Master's Degree preferred
Director of Case Management experience in an acute hospital setting
Certified Case Management (CCM) or Accredited Case Manager (ACM) certification preferred
Responsibilities:
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
Ensure timely and effective patient transition and planning to support efficient patient throughput
Manage department operations to assure effective throughput and reimbursement for services provided
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
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
Education provided to physicians, patients, families and caregivers
For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at [email protected] or visit our Case Management website at https://www.HealthcareRecruitmentPartners.com/Careers.
If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.
Michelle Boeckmann | President Case Management Recruitment
Direct Dial 615-465-0292 | Toll Free 800-940-2313 Ext 101
https://www.HealthcareRecruitmentPartners.com
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Director of Case Management jobs in Memphis
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