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Temp to Hire- Manager of Corporate Case Management

Date Posted: 8/13/2017

Job Description

Entrust Your Career to HealthTrust 

JOB TITLE: Manager Case Management-Utilization Management

The Manager Utilization Management is primarily responsible for carrying out the day to day operations related to utilization management, with a focus on government payers. The UM Manager will assist in tracking data, noting trends, and identifying improvement opportunities through chart reviews and the quality assurance program. The UM Manager will assist with management of Medicare initiatives and related processes such as the Utilization Review Committee.

The Manager of Utilization Management must be a subject matter expert in Case Management and will facilitate process standardization to promote improved outcomes, maximize resource utilization, and improve organizational deficiencies. As an essential element to the overall success of the Case Management Program, the UM Manager consistently demonstrates a strong work ethic and commitment to excellence. This position requires the ability to function with moderate supervision in a rapidly changing environment and to serve as a subject matter expert to the Case Management departments within HCA

QUALIFICATIONS:

  • Bachelor’s degree required, BSN
  • Strong clinical background with 3 years acute care nursing experience required
  • 3 years case management experience required
  • Knowledge and understanding of Medicare IPPS rules and regulations
  • In-depth knowledge of case management, discharge planning, and utilization review practices and ability to incorporate current trends successfully
  • Knowledge and understanding of governmental and JCAHO regulations
  • Experience in research preferred
  • Must be proficient to expert in use of software conducive to developing and presenting program deliverables including, but not limited to, the Microsoft Office Suite


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Job Snapshot
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Employee Type:
Full-Time

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Location:
Franklin, TN

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Job Type:
Health Care

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Experience:
Not Specified

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Date Posted:
8/13/2017


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