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    Health Care Director - Baltimore, MD, United States - Saint Agnes Hospital

    Saint Agnes Hospital
    Saint Agnes Hospital Baltimore, MD, United States

    2 weeks ago

    Saint Agnes Hospital background
    Description
    Interim RN Director Case Management and Utilization Management

    Ascension Interim Leadership Travel Program

    • Schedule: Monday - Friday, 8am-5pm, on call as needed
    • Hospital: St. This is an internal Interim contract for 3-6 months.
    Various health insurance options & wellness plans
    Retirement benefits including employer match plans
    Long-term & short-term disability
    Employee assistance programs (EAP)
    Parental leave & adoption assistance
    Tuition reimbursement
    Ways to give back to your community

    • Travel, PRN, Short-Term Option, etc.).

    Case Management:

    • Provides leadership to and actively participates with facility staff to identify, implement, or enhance CM programs consistent with Ascension and Market strategy
    • Identifies process improvement opportunities; leads regularly scheduled communication sessions with hospital CM Directors
    • Facilitates CM education within the Market; provides orientation and onboarding support to new hospital CM leaders
    • Identifies and proposes opportunities to improve current technology or identifies new technology to enhance performance and productivity
    • Escalates issues to Market leadership and Sr Dir of CM as appropriate
    • Performs other duties as assigned

    Utilization Management:

    • Ensures integration of utilization management functions with network strategy and claims processing.
    • Manages activities related to staffing, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
    • Develops systems and processes for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients to implement and manage comprehensive outpatient and inpatient utilization management programs.
    • Oversees implementation and maintenance of prior authorization codes for all clients.

    Licensure / Certification / Registration:

    • Bachelor's degree in nursing or diploma from an accredited school/college of nursing required. Master's degree or combination of Bachelor's degree and experience preferred.

    Work Experience:

    • 2 years of leadership or management experience required.
    • 5 years of leadership or management experience preferred.

    Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need.

    Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it.

    Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

    Every associate is empowered to give back, volunteer and make a positive impact in their community.

    Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

    For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

    As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists.

    Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application.

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