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Job description
A 198-bed facility. Our BHS campus holds 92 of the 198 beds with an Adult Unit, Children's Unit, Adolescent Unit, Intake, Outpatient Clinic, and Main Campus. Forbes' list as one of the "Best Small Places for Business and Careers." We value our team and recognize their exceptional contributions in creating a safe and welcoming environment for our guests.
JOB DESCRIPTION
Oversight of the Facility's Case Management team to ensure compliance with standards of practice and other regulatory requirements related to care management and utilization review.
Develop and foster effective collaboration between Case Management Departments, Medical Staff, corporate and facility leaders to ensure an integrated approach to providing care while fulfilling the hospital's goals and objectives.
Display an ability to work effectively within the health system's decision making and organizational structures.
Work closely with providers as well as internal and external physician advisors for utilization review and management activities
Coordinate all UM Committee activities to ensure compliance with meeting frequency and documentation of activity and outcomes
Work collaboratively with Revenue Cycle teams and participates in task force meetings related to medical necessity audits and denials.
Participate in appeals processes and work collaboratively with vendors to ensure the effectiveness and timeliness of appeals
Analyze length of stay and readmissions data and incorporate measures with Operations team members, Corporate Case Management Directors and other facility leaders to ensure goals are met
Introduce evidenced based practices geared to improve case management and transitions
Conduct regular staff meetings to review pertinent Federal and State regulatory requirements, emerging internal and external trends, and provide general training for staff
QUALIFICATIONS A minimum of 5 years experience in case management, discharge planning, and/or utilization review in an inpatient acute care setting. Strong clinical background is preferred.
Minimum 3years of Director experience at an acute care facility
RN compact or Oklahoma state license
Certification in Case Management or Utilization Review
SKILLS/ABILITIES/COMPETENCIES REQUIRED: Maintains and updates clinical knowledge and skills.
Participates in relevant continuing education programs.
Knowledge of and dedication to the highest patient care and provide the utmost service excellence to all patients.
Ability to take initiative and to exercise independent judgment, decision-making and problem-solving expertise.
A can-do, team oriented attitude is essential, as the ability to work independently and to interact easily with physicians, other managers and staff throughout the department and hospital.
Effective interpersonal/communication, organizational, and the flexibility to handle multiple tasks.
Demonstrated leadership and complex organizational management skills
Excellent management, problem solving, team building & organizational skills
Familiarity with Federal & State regulations related to case management discharge planning.
Knowledge of integrated discharge planning practices and resources available to patients
Demonstrated knowledge of RACs, MACs and the Medicare appeals process
Ability to work with Administration, Physicians, and staff in multiple settings
Ability to compile reports and interpret data
Ability to prepare and administer presentations
Requirements:
• COVID vaccine with 2 Shots & Booster.
BENEFITS
A robust benefits package that will give you and your family the peace of mind you deserve, and most start after 30 days of hire.
Red Carpet Relocation Package
Multiple offers to choose from, which include:
PPO to include HSA, FSA, Dental
Vision
Life Insurance: Supplemental Life
401K
Perkspot (discount program)
Voluntary Benefits (legal, critical illness, Accident Insurance, Permanent Life insurance, Hospital Indemnity, Auto Home Ins., Identity theft, and Pet insurance)
Quantum Health
Multi-facetted wellness program
Employee Assistance Program
Telemedicine Program
Education Assistance (Reimbursement and Advance)
Career Development
Employee Resource Groups (ERGs)
Clinical Ladder Program
Tuition Advancement Payback Plan
ABOUT THE AREA
Lawton populatino is 94,697 is located in the south western portion of Oklahoma, close to the Wichita Mountains in Comanche County. The city is the cultural and commercial center for the region. Lawton is known for huge granite deposits as well as cotton. The city has been included on the Forbes' List of the "Best Small Places for Business and Careers."
The Wichita Mountains Wildlife and Refuge is popular with hikers, rock climbing enthusiasts and tourists. The refuge features buffalo, elk, deer and numerous other animal and plant species. Popular destinations in the refuge include Holy City of Wichita, Lake Lawtonka, Quanah Parker Lake & Dam, Mount Scott and Quartz Mountain Nature Park. Lake Ellsworth is a popular location for outdoor activities
ABOUT HEALTHCARE STAFFING PLUS
Healthcare Staffing Plus is a US based national per diem, local contract, and locum tenens agency. We are located in the beautiful rolling hills of southern Indiana just outside of Louisville, KY.
With close to 24 years of non-clinical healthcare experience that includes 16 years of solid medical staffing and recruiting experience, we deliver on our promise of adhering to strict and ethical recruiting standards handled with the utmost professionalism. Never resting on our laurels of sourcing candidates thoroughly and presenting our clients only the cream of the crop.
Worksite address
lawton, OK, 73505, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.