DIRECTOR, CARE MANAGEMENT-Jeanes Campus - Philadelphia, United States - Temple University

Description

The Director of Care Management is responsible for the overall management and integration of the Care Management and Social Work Services for the TUH Jeanes Campus.

The Director provides administrative oversight of assigned areas and programs to meet the hospital tripartite mission of patient care, research and education.

The Director is responsible for developing, analyzing and maintaining a data base for Care Coordination Services and for measuring outcomes.

This Director assists the hospital to identify delays in service, gaps in coordination of care, poor communication between departments, over or under use of hospital services.

The Director of Care Management has overall responsibility for all utilization review activities on the TUH Jeanes Campus as defined by TUHS contracts, as falls within the scope of practice of the Care Management Department and is necessary to meet the financial needs of the organization.

These responsibilities include, but are not limited to, all concurrent utilization review activities as it relates to telephonic review, all clinical pre-certification responsibilities, all retrospective review responsibilities and all insurance company and business office concurrent determination follow-up and communication.

EducationBachelors Degree :
in Nursing or a related field. (Required)

Masters Degree :
in Nursing or a related field. (Preferred)Combination of relevant education and experience may be considered in lieu of degree.
Experience5 Years experience in Case Management or Utilization Management in either a hospital or insurance company (Required)General Experience and knowledge of InterQual criteria (Required)License/CertificationsRN-LIC

• PA Registered Nurse License (Preferred)Your Tomorrow is HereTemple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals.

Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.

To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike.

At Temple Health, your tomorrow is hereEqual Opportunity Employer/Veterans/DisabledAn Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Your Tomorrow is HereTUH-Jeanes Campus, in Northeast Philadelphia, offers a unique combination:
advanced medical and surgical services in a convenient, easy-to-access community setting.

A member of Temple Health, TUH-Jeanes Campus has many services that are typically only found at downtown hospitals, including advanced cardiac, neurologic and orthopedic surgery.

TUH-Jeanes Campus' experienced doctors and dedicated staff offer patients access to many of the latest treatments and diagnostics, while never losing sight of its commitment to providing a compassionate, personal touch .