Job Shift: Days
Job Type: Full Time
The individual in this position has overall responsibility for coordinating the daily activities of the case management team, while overseeing the clinical plan of care to conform with evidence-based practice and/or regulatory/payor requirements. This position integrates functions typically considered to be case management, care coordination and/or utilization management, and discharge planning assessment and coordination.
The individual’s responsibilities will include, but not be limited to, the following activities:
1. Coordination of clinical care (medical necessity, appropriateness of care, and resource utilization for admission, continued stay, discharge, and post-acute care) compared to evidenced-based practice, internal and external requirements.
2. Identify and report variances in appropriateness of medical care provided over/under utilization of resources compared to evidenced-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete, and concise documentation in CM software.
3. Effective collaboration with physicians, nurses, ancillary staff, payors, patients, and families to achieve optimum clinical outcomes.
4. Remain current with relevant clinical/case management practices.
5. Assist Director with daily operational oversight and supervision of departmental staff.
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Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At The Hospitals of Providence - Trans Mountain Campus hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
At The Hospitals of Providence - Trans Mountain Campus, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
Note: Eligibility for benefits may vary by location and is determined by employment status
Job details are sourced from the employer's original posting.
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Tenet Healthcare Corporation is a diversified healthcare services company.