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Manager of Case Management

Manager of Case Management

Roper St Francis

Introduction:
Located in Charleston, SC

Job Summary:

The Manager of Case Management has overall responsibility for the day to day leadership of the department and promotes effective and efficient utilization of resources to support the patient needs throughout the continuum of care, identify outliers, and develop action plans for improvement. This job partners with the Director in translating and operationalizing strategic initiatives, managing, motivating and directing the front line staff and leadership in the support of quality patient care, safety, financial improvements, and optimal patient flow, thereby promoting an integrated and seamless patient-centered experience. The manager serves as the subject matter expert and resource for all departments related to case management activities; promotes continuity of care and cost effectiveness through the integration and functions of case management; and supports and implements an integrated case management model throughout the Roper St Francis Healthcare delivery system. The manager develops and maintains professional networks and individual relationships with hospitals, physicians, and other internal and external stakeholders in order to promote continuity and quality of care.

Required Qualifications:

Experience: Five years clinical experience and a minimum of two years supervisory or managerial experience required. Experience with case management, discharge planning and utilization management in a healthcare system. Demonstrated knowledge of the healthcare industry, current legislation, regulations and reimbursement, as well as a proven track record in management of length of stay and cost per case and effective physician relations.

Licensure/Certification: Currently licensed as a Registered Nurse in the state of South Carolina or holds a current compact/multi-state license as a Registered Nurse in a recognized NCSBN Compact State and is not a permanent resident of SC.

Preferred Qualifications:

Knowledge/Skills: This role requires experience and leadership in managing the case management process for government and commercial payers and must have working knowledge of federal and commercial regulations as it relates to care coordination. The successful candidate will demonstrate a strong track record of building and leading teams. He/she will balance vision with a hands-on approach and will be comfortable driving results independently, as well as with and through others. Ability to navigate within ambiguity, a service orientation, and a high level of humility are all requirements for successful assimilation into our highly collaborative culture. Demonstrated ability to engage and manage across departments within the hospital organization and throughout the healthcare community. Must have demonstrated ability to develop and implement policies and procedures and evidence-based practices and standardized work flows across the organization. Proficient in communicating clearly and effectively with multiple constituents. Proficient in computer usage, especially database and spreadsheet analysis. Knowledge of organizational policies and procedures. Familiarity with risk stratification models.

Education Qualifications:

Education: BSN required. MHA, MBA, or MSN preferred. Candidates with national certification in case management fields will be given preference.

Instructions for Resume Submission:

To apply, click on the following link: www.rsfh.com/careers

Director of Finance & Accounting

Director of Finance & Accounting

BayCare Health System

Job Description:

Tired of the cold winter weather? BayCare Health System in sunny Clearwater, Florida is seeking to find a strong financial leader to oversee their centralized finance & accounting for their $4B health system consisting of 14 hospitals, medical group and ancillary services. The System Director will be responsible for the accounting/general ledger, financial statement preparation, fixed asset management, payroll, accounts payable, tax, GAAP compliance, external and internal audits, and the financial analytics to support the system’s self funded insurance products.

To learn more, contact me directly at aallen@wkadvisors.com or visit our website at www.wkadvisors.com.

April Allen
WK Advisors
A division of Witt/Kieffer
aallen@wkadvisors.com
502-228-4030

Instructions for Resume Submission:

To learn more, contact me directly at aallen@wkadvisors.com

Senior Financial Analyst, Physical Medicine & Rehabilitation, Washington, DC

Senior Financial Analyst, Physical Medicine & Rehabilitation, Washington, DC

Medstar Georgetown University Hospital

Job Description:
With a 609-licensed-bed hospital, 1100 physicians and 4500 employees, MedStar Georgetown University Hospital is one of the largest healthcare delivery networks in the Washington, DC area. We offer some of the most sophisticated treatments and technologies available, as well as the expertise of nationally respected physicians.

Responsibilities:

  • Responsible for overseeing the revenue cycle processes within Physical Medicine and Rehabilitation, including PT, OT and SLP billing functions.
  • Oversees the benefit verification process, insurance authorizations and denial investigations.
  • Performs daily charge and co-payment reconciliations to ensure accurate entry and collections.
  • Maintains current knowledge with regards to CMS and other private insurance rules and regulations.
  • Assists with keeping patient through-put to ensure revenue and volume targets are met within the outpatient areas.

Required Education/Training:

  • BA/BS required.
  • MA/MS in healthcare, finance or relevant field preferred.

Required Experience:

  • Minimum 3 to 5 years of experience in healthcare setting or equivalent setting.
  • Knowledge of HMO/PPO insurances.
  • Must be able to work well and communicate with people on all levels.
  • Strong computer skills and strong organizational skills.
  • Must have knowledge of office automation and human resource management, as well as financial analysis skills.

We offer:

  • Competitive compensation and generous benefits
  • Superb educational opportunities plus tuition assistance
  • Wellness programs
  • Free shuttle from Metro stations.

Location, location, location!

Located in Washington, DC, MedStar Georgetown University Hospital offers an exciting lifestyle to complement a satisfying career. The DC Metro area is famous for its education and cultural venues in theater, music, museums, art galleries and restaurants. Employees live in DC, Maryland or Virginia, affording great choices in lifestyle just metro stops away from the hospital.

MedStar Georgetown University Hospital Associates live by Our Common Purpose: We Create Caring Moments in the Spirit of Cura Personalis – Care for the Whole Person. Our Quality Standards of Safety, Compassion, Professionalism and Coordinated Care set the priorities for consistent decision making applicable to everyone in every situation.

For more information and to Express Your Interest in less than 60 seconds, please visit:
http://www.medstargeorgetown.jobs/jobs/145041/

Equal opportunity employer.

Instructions for Resume Submission:

Apply Here: http://www.medstargeorgetown.jobs/jobs/Senior_Financial_Analyst/Physical_Medicine_Rehabilitation_-_Outpatient/Inpatient/Washington_Washington_D_C_/102/145041/?rcmo_src=jt