Senior Director, Hospital Case Management & Utilization

Veracity Ventures Inc.; Worcester (MA); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Job summary

Veracity Ventures Inc. in Worcester, MA seeks a Director of Case Management to oversee utilization management, transition management, and departmental operations to promote compliant, efficient patient flow and revenue-cycle accuracy.

Requirements include a Bachelor's degree in Business, Nursing, or Healthcare Administration (RN) or a MSW, plus 3 years of acute hospital case management or healthcare leadership experience.

Qualifications

• Bachelor's degree in Business, Nursing, or Health Care Administration for RN or Master's in Social Work for MSW.

Responsibilities

• Manage department operations to assure effective throughput and reimbursement for services provided.
• Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement.
• Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy.
• Ensure timely and effective patient transition and planning to support efficient patient throughput.
• Develop and provide physician education and feedback on hospital utilization.

Skills

Leadership

Healthcare administration

Education

Bachelor's degree in Business, Nursing or Health Care Administration

Master's in Social Work (MSW)

Job description

Veracity Ventures Inc. in Worcester, MA seeks a Director of Case Management to oversee utilization management, transition management, and departmental operations to promote compliant, efficient patient flow and revenue-cycle accuracy.

Requirements include a Bachelor's degree in Business, Nursing, or Healthcare Administration (RN) or a MSW, plus 3 years of acute hospital case management or healthcare leadership experience.