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Tenet Health
Memphis, TN, United States
Job Description St. Francis Hospital Memphis Saint Francis Hospital Memphis is a 510-bed acute care hospital dedicated to providing high quality, compassionate care to the Mid-South community. As a comprehensive medical center, Saint Francis Hospital Memphis features a broad spectrum of tertiary and acute care, outpatient services and specialty a
Job Source: Tenet HealthHealthcare Recruitment Partners
Memphis
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, Tra
Job Source: Healthcare Recruitment PartnersVeracity
Memphis, TN, United States
JOB DESCRIPTION Case Management Director Memphis, Tennessee 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
Job Source: VeracityHumanRek Trading
Memphis, TN, United States
Job Overview: We are seeking a dedicated and compassionate Case Manager to join our team. As a Case Manager, you will be responsible for coordinating and managing the care of patients in a hospital or home health setting. Your role will involve assessing patient needs, developing care plans, and ensuring that patients receive appropriate medical se
Job Source: HumanRek TradingBaptist 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 MemorialSaint Francis Hospital - Bartlett
Bartlett, TN, United States
Up to 12K Sign-on Bonus Based on Eligibility St. Francis Hospital Bartlett Saint Francis Hospital Bartlett is a 196-bed hospital dedicated to providing high quality, compassionate care to the community. As a comprehensive medical center, Saint Francis Hospital Bartlett has the expertise to deliver quality care in a variety of specialties includin
Job Source: Saint Francis Hospital - BartlettPepsiCo
Southaven, MS, United States
Position is responsible for product merchandising within large volume stores (Grocery, etc.). This includes stocking shelves, rotating shelved product, setting up displays, stocking and rotating products in coolers, organizing and rotating products in storage rooms, and moving products from storage to the sales floor. This position interacts with p
Job Source: PepsiCoPepsiCo
Memphis, TN, United States
Position is responsible for product merchandising within large volume stores (Grocery, etc.). This includes stocking shelves, rotating shelved product, setting up displays, stocking and rotating products in coolers, organizing and rotating products in storage rooms, and moving products from storage to the sales floor. This position interacts with p
Job Source: PepsiCoMemphis, TN, United States
St. Francis Hospital Memphis
Saint Francis Hospital Memphis is a 510-bed acute care hospital dedicated to providing high quality, compassionate care to the Mid-South community. As a comprehensive medical center, Saint Francis Hospital Memphis features a broad spectrum of tertiary and acute care, outpatient services and specialty areas including Women’s Services, Surgical Services, Bariatric Center of Excellence and Behavioral Health. Other acute care areas include Emergency Room, Critical Care, Med/ Surge and Telemetry.
Case Management Director Full Time Days Blood Bank Position Summary
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 prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.
This position integrates national standards for case management scope of services including:
• 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
• Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
• Education provided to physicians, patients, families and caregivers
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 Tenet 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.
Education
Required: Bachelor degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW.
Preferred: MSN, MBA, MSW or MHA.
Experience
Required: 3 years of acute hospital case management or healthcare leadership experience.
Preferred: 5 years of acute hospital case management leadership multi-site experience.
Certification
Required: Registered Nurse or LCSW/LMSW license. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN or LCSW/LMSW license for state(s) covered.
Preferred: Accredited Case Manager (ACM)
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Case Management Director FT Days jobs in Memphis, TN, United States
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