- Bachelor's degree in business, nursing or health care administration required. Advanced degree in business, nursing and/or healthcare administration, health science or related discipline preferred.
- A minimum of 5 years of experience in hospital revenue cycle function. Five (5) years in hospital Case Management Leadership required. Multi-site hospital case management leadership experience preferred. Business planning and project management experience preferred.
- At least 2 years of acute hospital case management experience.
- Registered Nurse or LCSW/LMSW license; or relevant experience as approved by VP of Case Management required. Accredited Case Manager (ACM) preferred.
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Group Director Case Management Days FT - Detroit, MI, United States - Detroit Medical Center Shared Services
Description
The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital.
DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services.
DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan.
Job Summary
The Group Director, Case Management will perform the functions necessary to support and advance Tenet's Case Management strategy. Will support the advancement of Case Management as a leader, mentor, and consultant.
Will execute on the strategic plan and will provide subject matter expertise for Case Management regulations and standards, including ensuring compliance with all state and federal regulations.
Will ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient throughput.
Includes integration of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
Further, includes care coordination by demonstrating throughput efficiency while assuring care is the right sequence and of the appropriate level.
Will serve as an information resource, and will work in collaboration with physicians, allied health professional administrators, corporate, finance department staff, supply chain staff, vendors, and individual internal and external to the Detroit Medical Center.
Qualifications:
Primary Location: Detroit, Michigan
Facility: Detroit Medical Center Shared Services
Job Type: Full Time
Shift Type: Days
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
