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5 weeks 3 days ago

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Job Description

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Employment Type: Full time Shift: Day Shift Description: This is an Interim 13 week assignment with option to extend Responsibilities: * Works collaboratively with the Nursing Director and Sr. Director of Care Management * Conduct clinical supervision with all case managers and serve as a resource for the team. * Responsible for the compliance, tracking and trending of incident reporting procedures * Attend daily huddle/weekly interdisciplinary team and administrative meetings. * Manage the daily operations of the Nurse Case Managers and serve as a resource for the team * Collaborates and maintains positive working relationships with physicians, physician advisor and external review organizations to ensure quality outcomes, patient throughput, and appropriate resource utilization while supporting the HCH mission. * Assists with the denials prevention and management staff to ensure a low medical necessity denial rate. Supports the Mission of Trinity Health and Holy Cross Hospital. What you will need: * State of Maryland license as a Registered Nurse * BSN required; MSN Degree preferred. * At least 3 years of experience in hospital case management or related activity. * Minimum of 1-3 years management/supervision/leadership experience in an acute healthcare setting required. * Extensive knowledge of payer mechanisms and clinical utilization management is required Preferred: * At least 5-7 years clinical of Nursing experience in an acute healthcare setting. * Designation Changes and Utilization Review * Knowledge of pertinent regulatory, accreditation, public and private service organizational activities relating to discharge planning and resource utilization. Evidence of prior successful interaction with external review organizations. Demonstrated ability to establish and maintain effective interpersonal relationships with all levels of personnel, medical staff, and community, as well as a demonstrated ability to work effectively with interdisciplinary teams. Pay is $3400.00 gross weekly with travel provided if 60+ miles from facility Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

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