Director of Care Management job opening located in Upstate New York.
- 100-200 beds-Reports to CMO-7 FTE’s,
- Master’s in social work, Business or Nursing required.
- Five-year experience in a healthcare setting.
- Three-year experience in utilization management or denial management.
- Knowledge and experience in developing utilization management and revenue recovery strategies.
- Experience dealing with authorizations and appeals process.
- Knowledge of discharge planning and clinical case management strategies.
- Knowledge and experience in project management and team dynamics.
- Knowledge of and experience with basic research methods and statistical analysis.
- Preferred: DRGs, Medicare Regulations, Medical Necessity Criteria, Patient Bill of Rights, HIPAA.
- Minimum skills-Ability to facilitate project management, work effectively under pressure, meet deadlines, manage multiple priorities, and enhance the spirit of teamwork through effective role modeling.
- Familiarity with JCAHO requirements.
- Excellent leadership, interpersonal, communication (written and oral), analytical, and organizational skills.
- Demonstrated ability to deal effectively with the public in a professional and courteous manner.
- Computer literacy required with word processing, spreadsheets, power point.
- Preferred: Experience with Microsoft Office products including word, excel and power point.
Competitive Salary Range!
How to apply for the Director of Care Management Job: contact tinaroberts@contactjc.com or tinaroberts@toprecruiterweb.onmicrosoft.com
Tina Roberts
Executive & Management Recruitment Services
(415) 770-1200
(415) 685-6289