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DIRECTOR OF CASE MANAGEMENT RN

Company: Doctors Hospital of Manteca
Location: Manteca
Posted on: January 7, 2019

Job Description:

Summary Overall responsibility for operational management of the Case Management Department; including staffing, budgets and planning. The individual's responsibilities will include, but not be limited to the following activities : a) Complying with relevant Tenet policies including Case Management and Clinical Determination Policies b) implementing and revising the UM Plan and promoting cooperation with utilization review standards by the medical staff c) Maintaining / facilitating communication between the case management department and the physician advisor on a regular basis regarding utilization review and/or quality issues d) Maintaining / facilitating communication between the case management department and the physicians as well as other members of the healthcare team e) analysis of reports: LOS, avoidable days, disputes, InterQual and associated metrics f) Responsible for implementation and compliance with all policies and regulations relating to the functioning of the case management department g) and all other duties as assigned. LI-MH1 Qualifications: Experience Required: Three- Five (3-5) years in Case Management. Preferred: Five (5) years acute hospital case management experience preferred. Business planning experience preferred. McKesson InterQual? experience preferred. Education/ Certifications Required: Valid CARegistered Nurse license. Preferred: Accredited Case Manager (ACM). Job: Case Management/Home Health Primary Location: Manteca, California Facility: Doctors Hospital of Manteca Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Keywords: Doctors Hospital of Manteca, Manteca , DIRECTOR OF CASE MANAGEMENT RN, Executive , Manteca, California

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