Social Media Manager - Dubai, United Arab Emirates - CryptoNewsZ

Description

Directorof Care Management / RNLicensed:

• DirectHire
  
• Full-Time(Days)
  
• CompetitiveCompensation, based on
  
• ExcellentBenefitPackage
  
• Location:Geneva, NY (Finger LakesRegion)
  
• (Abilityto Travel the short drive from Geneva to PennYan)
  

Reports:Chief MedicalOfficer

Department:CareManagement

Supervises:CARE MANAGER, RN UTILIZATION REV, SECRETARY, SOCIAL WORKERMSW

Education:Masters in Social Work, Business or Nursing

License:Current NYS RN licenserequired

Experience:

• AcuteCare
  
• Minimum:Five years experience in a healthcare
  
• Threeyears experience in utilization management or denial
  
• Knowledgeand experience in developing utilization management and revenuerecovery
  
• Experiencedealing with authorizations and appeals
  
• Knowledgeof discharge planning and clinical case management
  
• Knowledgeand experience in project management and team
  
• Knowledgeof and experience with basic research methods and statistical
  
• Preferred:DRGs, Medicare Regulations,
  
• MedicalNecessityCriteria,
  
• PatientBill of Rights,
  

Responsibilities:

• Supervisesprofessional and clerical employees who work with a range offunctions, including but not limited to access, pre-authorizationand precertification, bed placement, coding, utilization review anddenial management, care coordination collaborative treatmentplanning and core measures, discharge planning, clinical socialwork, tracking of the post-acute period and provision of diseasemanagement, and contracting internally and
  
• Partnerswith the CMO for effective relationships with physicians, services,specialties,
  
• Providesconsultation to the executive team, forming effective relationshipswith all VPs and department
  
• Participatesin the determination and definition of the Care ManagementDashboard, using data to better understand strengths and weaknessesof the department, and to determine needs, decisions, and
  
• Establishes,implements, and evaluates a written strategic plan for thedepartment that takes into account internal and external
  
• Establishes,manages, and constantly evaluates staffing levels, assignments,skills, learning needs, and deployment of
  
• Createsstable and reliable processes to anticipate and address specificsituations within the department and between the department andother departments and
  
• Establisheseffective communication systems and forums with third party payers,the local PRO/QIO, Medical Records, and the managed care andfinance
  
• Developsstructures and processes to facilitate participation by physicians,physical therapists, social work, and other health professionals inmultidisciplinary care planning, care delivery, and discharge
  
• Participatesin continuous quality improvement
  
• Negotiates,approves, and manages the operational and capital
  
• Writesand conducts annual and interim performance appraisals for allstaff in the
  

Abilityto facilitate project management, work effectively under pressure,meet deadlines, manage multiple priorities and enhance the spiritof teamwork through effective role Familiarity with JCAHO Excellentleadership, interpersonal, communication (written and oral),analytical, and organizational Demonstrated ability to dealeffectively with the public in a professional and courteousComputer literacy required with word processing, spreadsheets,power

• Education:Masters in Social Work, Business or Nursing
  
• License:Current NYS RN licenserequired
  
• AcuteCareExperience