Company Info

ADVANCED Professionals Inc.

APPLY NOW or Call for Job Description & Salary Info:
Executive Search Division, FL, United States

Phone: 800-595-3823 x211
Web Site: www.advancedprofessionals.com

Company Profile


Director Case Management


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Category:

Case Management Director-VP

Location:

Hawaiian Gardens, CA, United States 

Zip Code:

90716
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Employment Type:

Full time

# of Beds:

107
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Job Requirements:

Five years recent case management experience in a general acute care setting, with three years management level experience Demonstrated knowledge of payor mechanisms, Managed Care (IPA) management, and clinical utilization management (RAC preparedness and third party payors) Knowledge of post-acute care community resources Experience with leading Utilization Committee Demonstrated knowledge of Title 22, Medicare Conditions of Participation, InterQual criteria, NCQA, AAAHC requirements and standards related to Utilization Management/Case Management, Patient Rights, Information Management, and Discharge Planning Excellent organizational and communication (verbal and written) skills are necessary. Bachelor’s degree Current CA RN license.

Job ID:

28283