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Case Management Directior

Company: Jobot
Location: Paris
Posted on: January 13, 2022

Job Description:

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 work.

--- 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.

Job Details
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 computer system.
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.

Must Haves:

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 Now" button.

Keywords: Jobot, Allen , Case Management Directior, Executive , Paris, Texas

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