- Utilization Management supporting medical necessity and denial prevention
- Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
- Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
- Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
- Education provided to physicians, patients, families and caregivers
- 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 review 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
- Implement and monitor processes to prevent payer disputes
- Develop and provide physician education and feedback on hospital utilization
- Ensure compliance with state and federal regulations and TJC accreditation standards
- Other duties as assigned
- 5 years acute care experience
- Two years acute hospital case management leadership
- Demonstrated organizational skills
- Excellent verbal and written communication skills
- Ability to lead and coordinate activities of a diverse group of people in a fast paced environment
- Critical thinking and problem solving skills
- Only for registered members Lakewood, CA, USA, Lakewood, CA
The Director of Case Management is responsible for hospital utilization performance improvement and operational management of the Case Management Department. · ...
- Only for registered members Manhattan Beach, CA
We are seeking a dedicated Temp to Perm Gastroenterologist to join our facility in Manhattan Beach. · ...
- Only for registered members El Segundo, CA
+We are seeking a Temp to Perm Gastroenterologist to join our facility in El Segundo, CA. · ...
- Only for registered members West Hollywood, CA
We are seeking a dedicated Temp to Perm Gastroenterologist to join our facility in West Hollywood, CA. · Performing consultations, diagnoses and treatments for gastrointestinal conditions Conducting procedures such as endoscopies and colonoscopiesMaintaining accurate medical reco ...
- Only for registered members Los Angeles, CA, USA, Los Angeles, CA
+Project Manager position in construction industry with experience of at least 10 years. · +Strong understanding of scoping, buyout, cost control and communication skills. · ...
- Only for registered members El Segundo Full time
We are seeking an IP Network Design Architect to provide building solutions to address specific customer needs. · The Engineer is expected to design and review custom requirements as part of global customers solutions coming in pre-sales. · ...
- Only for registered members Monterey Park Full time
This is a senior position for an IBM Content Management consultant with at least 5-6 years of experience in the domain and large engagements handled. · ...
-
Sales Associate
4 days ago
Only for registered members Lakewood, CASales Associates are responsible for providing positive front-line contact with customers and determining their needs. They must be able to meet sales goals and create customer enthusiasm. · ...
- Only for registered members Lakewood
We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, · a 13 week assignment as a Travel - Case Manager - Nurse in Lakewood, CA. · Aya Healthcare has an immediate opening for the following position: Case Man ...
-
Member Service Representative II
1 month ago
Only for registered members Long Beach, CA Full timeProvide members and prospective members the full range of products and services offered by Navy Federal Credit Union including depository accounts such as checking, savings, certificates, IRA, revocable trust and estate accounts; Lending products; and credit/debit cards. · Provid ...
-
Supply Chain Coordinator
3 weeks ago
Only for registered members Bellflower Freelance $23 - $26 (USD)This is a fantastic opportunity to join a stable, well-established, family-owned company that truly values its employees. As Supply Chain Coordinator you will be part of a growing aerospace operation where your work has real impact. · ...
-
Mix Operator Technician
1 month ago
Only for registered members Long Beach Full time+Rubbercraft is seeking a Mix Operator Technician (1st Shift) to join our team. · +Weigh ingredients as specified by the formula provided by the lab when necessary. · Mix Rubbercraft's compound formulations according to written instructions and IAW WI · Maintain inventory and or ...
-
Geologist
1 month ago
Only for registered members BellflowerThis entry-level position requires some recent professional environmental consulting experience and offers on-the-job training. The candidate will take on technical responsibilities to ensure thorough and accurate environmental assessments. · ...
-
Press Operator
2 weeks ago
Only for registered members Long Beach Full timeRubbercraft is seeking a Manufacturing Technician who supports manufacturing operations by operating molding presses inspecting product quality and maintaining safety efficiency traceability throughout production process. · ...
-
Mix Operator Technician 2
2 days ago
Only for registered members Long Beach Full time $23 - $28 (USD)Rubbercraft is seeking a Mix Operator Technician 2 (1st Shift). Rubbercraft is a trusted leader in engineered elastomer solutions serving aerospace, defense, and industrial markets. We take pride in craftsmanship, collaboration and a culture built on innovation and reliability. ...
-
Press Operator 2
4 days ago
Only for registered members Long Beach Full timeRubbercraft is seeking a Manufacturing Technician who supports manufacturing operations by operating molding presses and inspecting product quality. · Operation of presses assigned by the production schedule or Molding Foreman. · Loading and unloading of material and product from ...
-
Case Manager Registered Nurse
4 days ago
Only for registered members Bellflower , CA, United States of AmericaPer Diem Staffing Systems is one of California's leading healthcare staffing agencies. · ...
-
Satellite Mechanical Engineer
3 weeks ago
Only for registered members Long Beach, CA+SpinLaunch is pioneering a new era of scalable space infrastructure. Following years of innovation in alternative launch systems, we're now applying that same disruptive mindset to orbit—developing Meridian Space, a ground-breaking broadband satellite constellation built for rap ...
-
Supply Chain Coordinator
3 weeks ago
Only for registered members Bellflower, CAStep into a role where your organizational talent and problem-solving skills directly support the production of high-quality aerospace components. This family-owned company is expanding fast, and they're looking for a proactive Coordinator who thrives in a hands-on environment an ...
-
road service technician
1 week ago
Only for registered members Long Beach Full time $25 - $40 (USD)Ecology Auto Parts Inc. is seeking a skilled and reliable Road Service Technician to join our team. · ...
-
Supervisor, Production
1 month ago
Only for registered members Long Beach, CARubbercraft is seeking a Production Supervisor (2nd Shift) who is responsible for overall production and supervision of departments or cells at the Rubbercraft facility. This position will work closely with operations leadership, quality, supply chain and engineering to ensure al ...
Director of Case management permanent position at Lakewood CA - MIT RESOURCE
Description
Director of Case management permanent position at Lakewood CA
Full-time
Title: Director of Case management
Location: Lakewood, CA
Type: Permanent
The individual in this position has overall responsibility for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput and ensure compliance with all state and federal regulations related to case management services.
Scope of Services
Job responsibilities
Required Qualifications
#J-18808-Ljbffr
-
Director of Case management permanent position at Lakewood CA
Only for registered members Lakewood, CA, USA, Lakewood, CA
-
Temporary to Permanent Gastroenterologist Position
Only for registered members Manhattan Beach, CA
-
Temporary to Permanent Gastroenterologist Position
Only for registered members El Segundo, CA
-
Temporary to Permanent Gastroenterologist Position
Only for registered members West Hollywood, CA
-
Project Manager permanent position at Los Angeles, CA
Only for registered members Los Angeles, CA, USA, Los Angeles, CA
-
Full Time/Permanent position for Network Architect with our direct client at El Segundo, CA
Full time Only for registered members El Segundo
-
Full time/Permanent position of IBM Content Management Consultant with our direct client at LA, CA
Full time Only for registered members Monterey Park
-
Sales Associate
Only for registered members Lakewood, CA
-
Travel - Case Manager - Nurse Job - 2,276/wk - 2,506/wk
Only for registered members Lakewood
-
Member Service Representative II
Full time Only for registered members Long Beach, CA
-
Supply Chain Coordinator
Freelance Only for registered members Bellflower
-
Mix Operator Technician
Full time Only for registered members Long Beach
-
Geologist
Only for registered members Bellflower
-
Press Operator
Full time Only for registered members Long Beach
-
Mix Operator Technician 2
Full time Only for registered members Long Beach
-
Press Operator 2
Full time Only for registered members Long Beach
-
Case Manager Registered Nurse
Only for registered members Bellflower , CA, United States of America
-
Satellite Mechanical Engineer
Only for registered members Long Beach, CA
-
Supply Chain Coordinator
Only for registered members Bellflower, CA
-
road service technician
Full time Only for registered members Long Beach
-
Supervisor, Production
Only for registered members Long Beach, CA