Controller,Dir. of HIM/Case Mgt. jobs, Southwest

Controller, Southwest: small rural not for profit hospital; reports to CFO; experience in acute care steiing mandatory

Director of HIM, Southwest: rural not for profit hospital; reports to CFO; experience in acute care hospital setting mandatory; salary $70-85k.

Director of Case Management, Southwest: 300 bed profit hospital; BSN minimum, master’s preferred; reports to COO; coordination and direction of all utilization management activities to support and implement goals of utilization management program and plan; maintains oversight responsibility for review of all usage patterns for medical necessity and appropriateness of care against screening criteria and for infection control, quality and risk assessment documenting same in computerized database; responsible for authorization of appropriate services; inputs authorizations and utilizes UM component of computer system; coordinates discharge planning in conjunction with discharge planner/social worker, assist Quality Management Coordinator and Risk Manager with screening, investigation and problem solving as needed; assists medical director with all utilization activities as requested and directed; prepares agenda and meeting packet for Utilization Management Committee and documents summary of meeting in committee minute format; responsible for education on and implementation of clinical guidelines and protocols; coordination and presentation of UM program for all HMO due diligence and routine UM audits; directs CQI activities and PI activities within department; 3 years’ UM exp in managed care environment preferred; 5 years’ exp in acute care setting; salary $80-100k, bonus, and relo assistance.

For more information,

Contact: Tina Roberts, President
588 Sutter Street, Suite 349
San Francisco, CA 94102
(415) 770-1200    (415) 684-2526

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