We have a great opening for a Manager of Care Coordination/ Case Management in the Philadelphia, PA area!
40 hours per week.
Salary: $90,000 - $130,000
Excellent Compensation package
Medical, Dental, Vision Coverage
Over 3 weeks PTO + 7 Holidays
$8,000 towards Tuition Reimbursement
Medical and Prescription Coverage
Family Vision Care
Shift: Monday Friday; 8:00a 4:00p
Position entails managing all aspects of the care coordination department to achieve strategic goals within the organization.
Responsible for implementing all aspects off the hospital utilization management plan in collaboration with administration, medical staff and other health care team members
Coordinates daily operations and supports ongoing problem resolutions
Establishes tools, processes and systems to optimize department effectiveness and meet strategic goals.
Achieves Accurate Reimbursement
Provides oversight to the daily utilization review activities
Ensures utilization management nurses utilize InterQual criteria to confirm appropriate level off car on admission and continued stay
Ensures the utilization management nurses complete the three point match
Provides expertise for staff in areas of utilization criteria and electronica documentation
Demonstrates and promotes an aggressive and proactive involvement in appealing reimbursement denials
Communicates commercial and managed care payer exceptions to patient financial services
Identifies and communicates adverse patterns and trends in payer practices related to UM procedures and reimbursement/ denials
Minimum of 5 years of experience.
Please call 610.###.#### or email your resume with your availability to chat to ...@ghresources.com!
At General Healthcare Resources, we place Registered Nurses (RN), LVN/LPNs, therapists, pharmacists, behavioral health and school-based professionals in per diem, long-term and permanent positions. We offer great pay and one of the best benefits packages in the industry, including:
Flexible scheduling options
401(k) investment plan
Free liability insurance coverage
Direct Deposit or Pay Card option
This is a great Manager of Care Coordination/ Case Management opportunity! Be sure to apply today.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.