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DIRECTOR OF CASE MANAGEMENT RN

Company: Tenet
Location: Manteca
Posted on: January 30, 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 Employer 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 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. Employer will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Keywords: Tenet, Manteca , DIRECTOR OF CASE MANAGEMENT RN, Executive , Manteca, California

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