Case Management Directior
Posted on: January 13, 2022
Sign-On & Relocation $$
This Jobot Job is hosted by: Chad Lantz
Are you a fit? Easy Apply now by clicking the "Apply Now" button
and sending us your resume.
Salary: $80,500 - $102,600 per year
A bit about us:
We are a 154-bed, general acute-care hospital that has been serving
Northeast Texas and Southeast Oklahoma for 110 years. With cutting
edge equipment, robust service lines and a staff of 900+, we stand
as the most complex hospital in at least a 70-mile radius. We are a
Level III Trauma Facility, Accredited Chest Pain Center with
Primary PCI, Advanced Primary Stroke Care certified, and our
orthopedic outcomes are in the top 3% in the nation. You are our
priority, today and every day, and we are proud to be Making
Communities Healthier with quality health care close to home.
Why join us?
--- Our mission is to make communities healthier.
--- We want to create places where: people choose to come for
healthcare, physicians want to practice, and employees want to
--- We enjoy our small-town living.
--- Cost of living is lower.
--- Less traffic congestion that bigger more populated cities.
--- Still within about 90 miles of Dallas.
Responsible for the coordination and direction of all utilization
management activities to support and implement the goals of the
utilization management program and plan.
Maintains oversight responsibility for the review of all usage
patterns for medical necessity and appropriateness of care against
screening criteria and for infection control, quality and risk
assessment documenting same in computerized database.
Responsible for authorization of appropriate services; inputs
authorizations and utilizes utilization management component of
Coordinates the discharge planning function in conjunction with the
discharge planner/social worker, assist Quality Management
Coordinator and Risk Manager with screening, investigation and
problem solving as needed.
Assists the medical director with all utilization activities as
requested and directed.
Prepares agenda and meeting packet the Utilization Management
Committee and documents a summary of the meeting contents in
committee minute format.
Responsible for education on and implementation of clinical
guidelines and protocols.
Responsible for coordination and presentation of utilization
management program for all HMO due diligence and routine
utilization management audits. Directs CQI activities and
performance improvement activities within the department.
Performs other duties as assigned.
1. Current State of Texas Registered Nurse Licensure.
2. Ten or more years acute hospital, home health, hospice,
inpatient mental facility experience required.
3. Five or more years utilization management experience in the
managed care environment.
Interested in hearing more? Easy Apply now by clicking the "Apply
Keywords: Jobot, Allen , Case Management Directior, Executive , Paris, Texas
Didn't find what you're looking for? Search again!