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Director of Care Management - 3172833

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Posted : Saturday, August 31, 2024 08:42 AM

*Job ID: 3172833* *Full-Time Onsite Position with Paid Relocation* Our client, a leader in the healthcare industry, is currently seeking a qualified professional for a challenging leadership role in the Medical/Health sector.
With a strong focus on Care Management, this position offers a unique opportunity to work with an esteemed organization that has garnered numerous awards across different locations.
*Responsibility Summary:* Supervise a team of professionals and clerical staff involved in various functions, including access, pre-authorization, bed placement, coding, utilization review, and denial management.
Collaborate with the Chief Medical Officer to foster effective relationships with healthcare professionals, services, and specialties.
Provide consultation to the executive team, building strong connections with VPs and department leaders.
Contribute to the determination and definition of the Care Management Dashboard, utilizing data to understand the strengths and weaknesses of the organization.
Develop and evaluate a strategic plan for the department, considering internal and external factors.
Manage staffing levels, assignments, skills, learning needs, and staff deployment.
Create stable processes to anticipate and address specific situations within the department and between other departments and agencies.
Establish effective communication systems with third-party payers, local PRO/QIO, Medical Records, and the managed care and finance offices.
Develop structures and processes to facilitate multidisciplinary care planning, care delivery, and discharge planning involving physicians, physical therapists, social work, and other health professionals.
Participate in continuous quality improvement groups.
Negotiate, approve, and manage operational and capital budgets.
Conduct annual and interim performance appraisals for all staff in the department.
*Skills and Certifications:* Masters in Nursing, Current New York State Registered Professional Nurse Licensure, Five (5) Years Hands-On Care Management Leadership Experience in a Hospital Setting.
*Candidate Details:* * 5+ to 7 years of experience * Seniority Level - Director * Management Experience Required - No * Minimum Education - Master's Degree * Willingness to Travel - Occasionally *Screening Questions:* Have you worked in a Leadership Care Management Role in a Hospital Setting for at least 5 years? Do you have a Masters in Nursing? *Ideal Candidate:* We are seeking a Servant Leader who can work collaboratively with the team and has five (5) years of experience in a Care Management Leadership Position within a Hospital Setting.
*Job ID: 3172833* Job Type: Full-time Pay: $130,000.
00 - $160,000.
00 per year Benefits: * 401(k) * 401(k) matching * Dental insurance * Employee assistance program * Flexible spending account * Health insurance * Life insurance * Paid time off * Retirement plan * Vision insurance Ability to commute/relocate: * Geneva, NY: Reliably commute or willing to relocate with an employer-provided relocation package (Required) Application Question(s): * US Citizen or current green card holder? Experience: * Care Management hands: 5 years (Required) * Leadership experience in a Hospital setting: 5 years (Required) License/Certification: * Masters in Nursing (Required) * Current NY State Registered Professional Nurse licensure.
(Required) * Chief Medical Officer (Required) * Care Manager, RN UR, Secretary, Social Worker LMSW (Required) Work Location: In person

• Phone : NA

• Location : Geneva, NY

• Post ID: 9005508217


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