Director of Case Management
Executive Search Associates Inc. - California

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The Case Management Director, under the direction of the CFO, serves as middle level administration to guide and direct Case Management Department through implementation of hospital policy and departmental goals and standards. Director integrates the functions of utilization review, discharge planning, overall clinical management, and resource management into a singular effort to ensure, based on patient assessment, that care is provided in the most appropriate setting, utilizing medically indicated resources. Director oversee's the Emergency Departments Case Managers focus on problem solving the needs of the patients; evaluation of all self pays; lack of primary care support; utilization of resources; and evaluation of patient for admission.Works closely with the Physician advisor in appealing all insurance denials. Collects, analyzes and audits data for multiple reports, including: One day stays, Observations, Avoidable Days, Physician Length of Stay, 7 and 30 day re-admits, Patient Choice, Important Message from Medicare forms, and various others as needed.

Daily input of notes into the AS400 systems regarding notification of third party payors and other pertinent information - 7 months ago - save job
About this company
Executive Search Associates, Inc. is a leading consultancy and executive recruiting firm focused solely on addressing the needs of the...