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Case Coordination Manager

Expired Job

BJC Healthcare St. Louis , MO 63110

Posted 3 months ago

Your Career. Made Better.
For more than 130 years, St. Louis Children's Hospital has provided exceptional care for children in all 50 states and 80 countries around the world. With its academic partner, Washington University School of Medicine, Childrens is consistently ranked among the nations best pediatric hospitals by U.S. News & World Report. A member of BJC Healthcare, St. Louis Childrens Hospital follows one simple mission to do whats right for kids. That mission comes to life through medical discovery, innovative therapies and compassionate care. In 2018, Children's expanded with a state-of-the-art, 12-story medical tower. To learn more, visit StLouisChildrens.org, Facebook, Twitter and Instagram.
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Role Purpose
Responsible for the management direction and coordination of Case Management, components of the Care Coordination Department. Plans, directs and implements all services related to case coordination, concurrent review, and utilization management programs, ensuring compliance with TJC, state and other regulatory agencies. May be responsible for per-certification and social services.
Responsibilities
Manages designated aspects of the case coordination, precertification, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital, and to minimize patient liability.
Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to changes in the business which may affect the ability to achieve the budget goals.
Minimum Requirements

Degree
Bachelor's Degree

  • Nursing

Experience
5-10 years

Supervisor Experience
2-5 years

Licenses & Certifications
RN

Preferred Requirements and Additional Job Information

Degree
Master's Degree

Experience
10+ years

Supervisor Experience
5-10 years

Licenses & Certifications
Certified Case Management (CCM)

Clinical

  • Direct Skills
    Pediatric Nursing

  • 2 years or more

Additional Job Information
40 Hours per Week


Benefits Eligible

  • Benefits Statement

Note: not all benefits apply to all openings

  • Comprehensive medical, dental, life insurance, and disability plan options

  • Pension Plan*/403(b) Plan

  • 401(k) plan

  • Tuition Assistance

  • Health Care and Dependent Care Reimbursement Accounts

  • On-Site Fitness Center (depending on location)

  • Paid Time Off Program for vacation, holiday and sick time
    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Memorial Medical Group, Alton Memorial or Parkland Health Center

Category: Technicians/Assistants


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Case Coordination Manager

Expired Job

BJC Healthcare