Manager, Inpatient and Post Acute Services
Job not on LinkedIn
🕒 July 14
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📋 Description
• Oversee daily UM operations for inpatient services including clinical review, authorization, and concurrent review processes • Ensure timely level of care determinations alignment with clinical guidelines and regulatory requirements • Collaborate with hospital case managers, providers, and interdisciplinary teams to facilitate safe and cost-effective discharge plans for patients • Monitor and track and analyze inpatient length of stay metrics, readmissions, key performance indicators (KPIs), and turnaround times • Establish effective transitions of care with post-acute providers
🎯 Requirements
• Minimum of seven (7) years of clinical experience required • Minimum of 3 years direct health plan experience in case management, utilization management, or disease management • Registered Nurse or Licensed Clinical Social Worker with current appropriate state licenses • Certified Case Manager Certification as accredited by CCMC preferred • Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes, including ICD-9 & 10, CPT codes, health insurance and State of Oregon mandated benefits
🏖️ Benefits
• Health insurance • 401(k) matching • Paid time off • Professional development opportunities
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