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Director of Case Management

Location: Denver, CO
Job # 11390663
Date Posted: 09-19-2018
We are interviewing immediately for a Director of Case Management. This leader is responsible for the operational management of the Case Management Department; including staffing, budgets and plans. Responsibilities will include, but not limited to the following activities:
 
·         Complies with relevant policies including Case Management and Clinical Determination Policies
·         Implements and revises the Utilization Management Plan and promoting cooperation with utilization review standards by the medical staff
·         Maintains communication between the case management department and the physician advisor on a regular basis regarding utilization review and or/or quality issues
·         Maintains communication between the case management department and the physicians as well as other members of the healthcare team
·         Analysis of reports: LOS, avoidable days, disputes, InterQual and associated metrics
·         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.
 
Requirements:
Requires current California Registered Nurse license, Healthcare Provider BLS, BSN Degree
3+ years experience as a Case Manager.
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