DIR - UTILIZATION REVIEW / MGMT

Responsibilities

The Director of Case Management (DCM) provides hospital leadership for operations and management of the case management staff and department. Develops and mentors the case management staff and is accountable for evaluating staffing levels and budget management. Will execute, monitor, and evaluate system and facility initiatives. Ensures staff competencies in all areas of case management (utilization review, resource management, and transition/discharge planning, and social work services).

Develop strong relations with hospital senior management, key medical staff, CNO/nursing leadership, HIM/CDI leadership to facilitate quality and efficacious care. Leads hospital and system-wide case management initiatives to meet established benchmarks, standardization, and established targets.

Collaborate with Performance Improvement on CMS clinical indicators to ensure best practice is provided on behalf of our patients. Demonstrates Services Excellence at all times. Other duties as assigned.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449 .

Qualifications

Experience: Minimum of one to three years clinical experience in hospital setting. Prefer Utilization Review / Discharge Planning background.

Licensure, Certification, Registration, etc.: Must have Registered Nurse license in the State of Texas.

Special Skills, Knowledge: Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patient served.

Bilingual preferred. Ability to communicate effectively in writing and orally. Ability to work with multidisciplinary staff. Demonstrate a high level of medical, clinical, and nursing competence with the ability to make appropriate judgment. Working knowledge of current Medicaid / Medicare guidelines. Knowledge of TMF/ TDHS criteria for medical treatment.

Education: Bachelor degree in Nursing.

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