Regional Director of Case Management
Remote Nationwide Position
(Candiate may live anywhere throughout the United States)
Select Medical's highly regarded rehabilitation hospitals provide comprehensive physical medicine, as well as rehabilitation programs and services that optimize patient health, function and quality of life. Within supportive and dynamic care environments, our expert rehabilitation teams offer advanced treatment and state-of-the-art technologies, all of which are tailored to each patient's unique needs and goals. Specialized and intensive programs of care are designed to restore strength, improve physical and cognitive function, and promote independence in activities of daily living.
Select Medical's Inpatient Rehabilitation Hospitals provide advanced treatment to best address the medical, physical, emotional and vocational challenges for individuals with:
The Regional Director of Case Management will be responsible to contribute to the PPS outcomes of a region within the Inpatient Rehabilitation Division. Some responsibilities include: Monthly and quarterly data analysis, identification of facilities in need of remedial support, development of Performance Improvement programs and direct follow-up with the staff. Other responsibilities will include company-wide goal attainment through project management. In addition, the position will support our goal to improve accurate billing and timely reimbursement of commercial revenue.
Establish and maintain a threshold program for goal setting and attainment of facility outcomes associated with PPS reimbursement.
Develop materials for the education of facility CEO's, Medical Directors and Case Managers to promote successful management of patient care.
Organize training programs to educate key players responsible for facility performance.
Integrate the use of data driven analysis and strategic planning at the hospital level
Support successful transition of newly acquired hospitals.
Support the maintenance of PPS outcomes during employee transition.
Distribute monthly and quarterly statistics benchmarking hospital performance.
Develop strategies and intervention for Performance Improvement with hospitals identified as inconsistent performers and hospitals with the greatest potential for improvement.
Timely site visits to assess compliance with the operational model and provide focused education.
Case specific intervention for at risk or cost greater than reimbursement cases as appropriate.
Improve accurate billing and timely reimbursement by improved facility data entry of commercial contract rates and exclusions. Translation of new commercial insurance contracts into Billing and Reimbursement forms. Manage the transition to corporate-generated Billing and Reimbursement forms for all contracts.
Case Management experience, preferably within Select Specialty Hospitals
Good organizational capabilities with well-developed written and verbal communication skills
Statistical analysis and interpretation required
The ability to mentor Case Managers and CEO's while instilling a sense of urgency for positive performance improvement outcomes
Working knowledge of Medicare reimbursement and the commercial insurance industry is required
Experience within Inpatient Rehabilitation preferred
Select Medical Corporation