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Years of Experience
Date Last Verified
RN Case Management Services Senior Director AZEast The candidate will have the ability to provide guidance, troubleshoot and lead the operational change to a standardization model. Will have an amazing clinical staff to ensure consistency to ensure safe discharge in caring for peoples lives. Provides overall leadership in the development and implementation of case management programs and services across the organization. Leads case management in optimizing care coordination, resource utilization, quality outcomes and maximizing reimbursement. Oversees and/or directs the development and implementation of company-wide care coordination, utilization management, and social work services policies, procedures and programs in conjunction with related goals and objectives. Ensures compliance with federal and state regulations, and accreditation organizations, as well as established organizational policies and procedures. Establishes and oversees the development and implementation of case management services short and long-range goals and objectives and determines the optimal progression to obtain these goals. Reviews, analyzes and reports various activities to determine department progress toward stated goals and objectives. Responsible for designing, implementing, and monitoring medical management processes that will result in optimal clinical outcomes and effective and efficient utilization of resources.
Qualification and Experience
The candidate should have Bachelors Degree in a relevant field or equivalent level of education and experience. Expert-level working knowledge of principles, practices, and operations in assigned or related area of responsibility as normally obtained through a minimum of 5+ years of progressively responsible managerial experience, including a minimum of 2+ years management level experience within a healthcare system setting or large multi-operational, complex corporate environment. Must demonstrate expert-level knowledge and awareness of area of expertise in designated facility, business entity or area and/or experience in which the knowledge, skills, and abilities are directly transferrable. Proven track record of driving successful performance outcomes and accomplishing organizational goals is required. Case Management Certification Preferred. Additional related education and/or experience preferred.
Job Number 215000
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