Director of Case Management/$10k Sign-On Bonus
: Job Details :

The Director of Clinical Resource Management develops and maintains programs for peer review for utilization programs emphasizing concurrent and retrospective analysis of patterns of care. Coordinates all Federal, State, and private peer review activities. Submits the Utilization Management Plan annually to the Utilization Management Committee for review and/or revision and approval. Establishes and submits departmental budget annually. Serves as a resource to the Medical Staff Committees requiring education, edification and/or assistance in their peer review process. Provides for medical staff and indicated hospital staff education in the areas of PPS/ DR - Gs, Medicaid, and other agency requirements for peer review. Attends hospital mandatory in-service education programs. Monitors, analyzes, and reports the impact of the utilization management influences on patterns of care and trends in length of stay. Maintains confidentiality of records, files, and other data relevant to utilizat...Director, Management, Hospital, Healthcare, Program