Opportunities Subcontracting with The Center for Case Management, Inc.
The Center for Case Management has openings for skilled sub-contractors, Master’s or Bachelor’s degree preferred and relevant to specific roles. Please submit your CV for consideration to Sue Wilson Hall at firstname.lastname@example.org
Introduction: The Center for Case Management specializes in providing current case management experts to the healthcare industry. It is what differentiates us and makes us so helpful to our clients. So if you are job-hunting, recently retired, working part-time, or on sabbatical, we hope you will consider joining us as a subcontractor. We cannot guarantee specific numbers of days of work, but we will try to give you as much time as you want to work. Daily professional fees are negotiable, depending on depth and breadth of your experience.
You will receive FULL SUPPORT from us:
- Every CFCM contract is led by a CFCM executive
- Interim Directors receive weekly phone support from our most experienced interim
- Learn how to provide strategic planning for the future of case management
- Join teams of other experts on assessments
- Gain access to almost 30 years of case management knowledge and know-how!
Opportunities outside of CFCM
Cedars-Sinai Medical Center, in Los Angeles Calif is seeking a Service Line Manager of Denial and Appeals
Position is responsible for coordination of responses to all commercial, Medi-Cal, Medi-Cal managed care, Medi-Care managed care and Medicare medical necessity denials, including writing of appeal letters as required. Provides oversight of all administrative functions related to government audits. Responsibilities also include review of all Medicare short stay (less than 48 hours) inpatient discharges to ensure appropriateness of billing status and communication of outcome of review to appropriate departments as per established process. In addition, position will act as a resource to other departments including but not limited to, admissions, CBR, RRU, and case management for all questions relating to appropriate patient status. Position also provides education to clinical staff and case management staff regarding Medicare coverage decisions.
This is a full-time position
Experience level: RN with Case Management Experience, Medicare Coverage decisions
Please apply directly to:
Gretchen Case – Exec Dir Compliance and Revenue Integrity email@example.com 323-866-9840
MUSC Health in Charleston SC , is seeking a Manager of Case Management and Care Transitions
The Manager of Case Management and Care Transition reports to the Director of Case Management. Under general supervision, the Manager for Case Management and Care Transition provides supervision and direction to the assigned Case Management Service Line teams to ensure billing accuracy and compliance, appropriate resource utilization and effective discharge planning per state and federal regulations.
Master’s degree in Nursing or Bachelor’s degree in Nursing and a Master’s degree in a relevant field and a minimum of 5 years of nursing work experience required; three years of which must have been in a supervisory or management role. Extensive knowledge of the inpatient perspective payment system (IPPS), hospital reimbursement methodology, disease management, and data analysis required. The ability to establish cooperative working relationship with diverse groups, individuals, medical staff and other health care disciplines essential. Program and database development experience a plus. Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state required. Current Basic Life Support (BLS) required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider. Some positions require certification in Advanced Cardiac Life Support. Certification in Case Management preferred.
This is a full time position.
Apply to : Bradley Wagoner, Talent Acquisition- Medical University of South Carolina