Company: Interwest Search
Location: Ventura, CA 93002
Type: Full Time
Experience: Manager
Compensation: $125,000 - $140,000
Education: Bachelor of Science
Travel: Up to 25%
Will Relocate: Yes
Shift: First
Contact:
Paul Williams
P: 559-298-8437
F:
E: pwilliams@interwestsearch.com

Provides management of the Case Management department for the hospital by coordinating, staffing, directing, and supervising both staff and daily functions of the department. Principally involved in the recruitment, interview, hiring, orientation and training of new staff. Responsible for establishing appropriate staffing levels and work assignments, developing performance criteria for staff, and ensuring that the operations of the case management department are consistent with organizational standards. Participates in the development, review and revision of department policies and procedures, ongoing staff education and training. Directs and participates in the development and collection of Performance Improvement (PI) projects. Oversight of utilization management: Familiarity with Medicare rules and regulatory compliance for acute, critical access and swing bed environments. Knowledge of appeal and denial processes, and working with Third party payers. Acts a liaison with medical staff, service providers and community agencies. Develops and maintains annual budget in collaboration with the department Director. Serves on appropriate hospital committees.

Qualifications:

Bachelor’s Degree in Nursing. Current California Registered Nurse License. Minimum three (3) years medical/surgical experience in a hospital setting. Minimum of two (2) years leadership experience. Knowledgeable of InterQual criteria, Medicare, Medi-CAL, OSHA and COBRA.

Masters of Science in Nursing, Certified Case Manager (CCM), and utilization experience preferred. 

Full benefits package


About Us

Company Name
Interwest Search
location
Ventura, CA
Description
Recruitment firm specializing in the placement of healthcare professionals exclusively.