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Director of Case Management
Vienna, Virginia, United States

Job Summary

Occupation Physician Assistant
Specialty Medical Director
Degree Required MPAS/MHS/MMSc/MPH
Position Type Permanent/Full-Time
Work Environment Ambulatory Surgery Center (ASC) Academic/Training Program Long-Term Care/Facility Hospital Clinic/Private Practice
Location Phoenix, Arizona, United States
Visa Sponsorship No

Job Description

Last Update: 2/04/20
Seeking qualified candidate for the position of Director of Case Management.

Assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Nursing, patient and significant others who have an ongoing caring relationship with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.

Qualifications:

Bachelor's degree required
1 - 3 years experience required
State of Arizona RN license in good standing
BLS certification
Ability to work competently with computer based charting and other clinical and nonclinical software programs
Adaptability to change and proven organizational skills
Working knowledge of criteria for Medicare, Medicaid, HMO and private insurance companies and coverage details
Possess a thorough knowledge of Medicare Medicaid and managed care utilization review requirements
Must be familiar with federal, state and accreditation standards as they relate to case & utilization management
Ability to advocate for patients.

Contact: Bryan Stevens
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