DIR, UTILIZATION REVIEW & eSNF - POST ACUTE CASE MANAGEMENT

Location
Monday, Tuesday, Wednesday, Thursday, Friday, Clearwater, FL
Salary
Competitive
Posted
10/12/2017
Closes
10/17/2017
Specialty
Case Management, Managed Care
Contract Type
Permanent
Hours
Full Time
 
 

 

BayCare Health System currently consists of 14 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and physician offices, all located throughout the Tampa Bay area. We're committed to delivering the highest quality, compassionate care to all those we serve. That's why we attract forward-thinking people who are enthusiastic about the future. And you can be sure we'll give you what you need to succeed - both personally and professionally.

 


The Director, Utilization Review Management and eSNF directs, guides and oversees the activities of utilization review and denials staff to maintain the highest quality of services provided and researches, appeals and resolves insurance company denials. Ensures implementation of quality improvement initiatives related to care and utilization management and service operations to ensure services provided meet the needs of the patients. Ensures compliance with all Federal & State regulations and requirements and BayCare policies related to utilization management and denials processes. The Director will also work collaboratively with BayCare Physician Partners to support post acute care.

Achieves service excellence through the principles of quality improvement, cost effective care, courtesy, reliability, respect and concern. Ability to readily accept change and ambiguity, remain innovative, and work independently and maintain own professional growth.

Required Experience: 4 years of Nursing Leadership with Master's Degree; 2 years of experience must be in a manager-level position.

Qualifications
Certifications and Licensures

Required |
RN (Registered Nurse) |
State of Florida

Education

Required |
Master's |
Nursing

Or |
Master's |
Healthcare Related

Experience

Required |
4 years |
Reference summary for details

Required |
2 years |
Management

Specific Skills

Required |
Critical thinking skills

Required |
Computer skills appropriate to position

Required |
Customer service skills

Required |
Organizational skills

Required |
Knowledge of regulatory standards appropriate to position

Required |
Work with a team

Required |
Written and verbal communication skills

Required |
Management skills

Required |
Administrative and clerical skills

Required |
Interpersonal skills

Required |
Work independently

Required |
Delegation skills

 
   

Come be part of our high-energy workplace, and take advantage of our generous benefits, career development opportunities, continuing education programs and internal mobility options. Join us here and you'll always find new reasons to love where you work and who you are.

www.BayCareJobs.com
866-221-3222

Equal Opportunity Employer. Drug-Free Workplace.