| |
|
Job Profile
|
Top Echelon Network
Director Case Management RN BSN
Job Location: Tampa Bay, FL
Salary: 73000 - 80000
Shift:
Full-Time
Top Echelon Network
Director Case Management RN BSN
Job Location:
Tampa Bay, FL
Job Type:
Full-Time
Job Description:
Facility Description:
This Hospital opened in 1984. We are the areas largest and most advanced hospital with 204 beds. We have experienced tremendous growth since our opening nearly 22 years ago and we continue to expand to meet the needs of our community. In 2002, The Cancer Institute, which is the only accredited cancer program in the surrounding counties, signed an affiliation agreement with Shands HealthCare and the University of Florida Shands Cancer Center. This collaboration provides cooperative diagnostic treatment protocols and continuing medical education opportunities for specialized healthcare of complex medical conditions. We are pleased to bring the benefits to our community of a partnership with such a prestigious cancer program.
In the fall of 2003, we completed a $10 million expansion of our Emergency Department which included an addition of 12 treatment rooms, bringing the total to 29 and we added a new X-ray facility and separate entrances for ambulances and the public. Additionally, our Quick Care Unit, which handles less severe emergencies, was expanded.Our Hospitals Emergency Department is proud to have been ranked in the top 10 hospitals within our 200 hospital network for patient satisfaction.
In 2005, we achieved recognition by the American Heart Association and the American Stroke Association for our Stroke Center complying with the Get with the Guidelines program. And, in 2006, our Heart Institute began providing open heart surgery, cardiac angioplasty and stenting.
Location: Tampa Bay, Florida 34606
City Description:
Beautiful Central location,very affordable cost of living, with an excellent school system.
Job Description
Maintains a working knowledge of Medicare/Medicaid rules and regulations regarding utilization review, reimbursement, discharge planning, transfer and home health requirements, as well as current trends and developments in utilization management.
Develops length of stay (LOS) and resource reduction strategies, capitalizing on facility best practices. Provides facility specific LOS analysis and makes recommendations for process improvement. Ensures that improvement opportunities are appropriately channeled to effect change.
Coordinates compliance initiatives with outside agencies (FMQAI).
Intervenes with managed care companies to address and resolve issues related to facility utilization review process.
Facilitates strong working relationships between Revenue Service Center (RSC) and hospital admitting departments to promote effective utilization management through coordination of efforts with all payor sources.
Identifies educational opportunities and coordinates facility based training programs.
Monitors and analyzes trends in the appeals/denials process. Develops and implements action plans to minimize future denials.
Facilitates the development and review of division/facility utilization management plans to ensure compliance with state and federal regulatory requirements
Maintains a working knowledge of national criteria, such as Interqual, to assist in criteria review activities for facilities.
Qualifications
Communication communicates clearly and concisely, verbally and in writing.
Customer orientation establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
Interpersonal skills able to work effectively with other employees, patients and external parties.
PC skills demonstrates proficiency in PC applications as required.
Policies and Procedures demonstrates knowledge and understanding of organizational policies, procedures and systems.
Basic skills able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
Position Comments:
Candidate must have strong leadership skills. Able to maintain the balance between Employee concerns, and the need to achieve the goals set forth by the administration
Schedule: Monday - Friday Days
Experience Required:
EDUCATION:
Bachelors degree required.
EXPERIENCE:
5 years hospital case management experience required.
2 years director/supervisor level experience
CPUR, CCM preferred
Experience:
3-10 years of experience
Helpful Skills:
Case Management; Directory
Education:
BS in N (Nursing)
Compensation/Benefits:
Salary: 73000 - 80000
Top Echelon Network
Click Here to Apply
|
| |
|
|
