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Director Case Manager

Location : Hialeah
Job Type : Direct Hire
Hours : Full Time
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services

Job Description :

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 our company policy
• Education provided to physicians, patients, families and caregivers

Required Qualifications :

Position Qualifications:  

Required qualifications include an active Registered Nurse license with at least two years acute hospital case management leadership experience. MSN preferred. Accredited Case Manager (ACM) preferred. McKesson InterQual® experience preferred. Five years acute hospital case management experience preferred. Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast paced environment, critical thinking and problem solving skills and computer literacy. Business planning experience preferred.

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