Job description

**Children's Hospital, Excellent Work Environment, Full Medical Benefits, Paid Time Off, 401k Match - Smooth & Efficient Hiring Process!**

Our client, a local health system, is seeking a Manager, Case Management/Clinical Resource Management for a permanent position! Enjoy all of the perks of a permanent position including competitive pay, full health benefits, paid time off, retirement matching and more. Apply today!

PERMANENT RN POSITIONS - GET PLACED BY HC SOLUTIONS GROUP

Manager, Case Management/Clinical Resource Management

Washington, DC

Full-Time, Permanent Positions Only

HC Solutions Group specializes in the permanent placement of Registered Nurses. We have partnered with a local health system for the recruitment of a Manager, Case Management/Clinical Resource Management. All positions are full-time & permanent. Qualified candidates must have 5+ years of nursing experience with 2 years of leadership experience and hold an active DC RN license or Compact License.

GET PLACED BY HC SOLUTIONS GROUP

• Direct Access to Hiring Managers
• Streamlined Hiring Process
• Fast & Efficient
• Recruiter Representation & Advocacy
• 20 Years of Health Care Leadership Experience
• Full-Time, Permanent Positions Only

Compensation for the Manager, Case Management/Clinical Resource Management

• Competitive Base Salary
• Relocation Assistance
• Medical/Dental/Vision
• Retirement Plan
• Paid Time Off

Benefits of the Manager, Case Management/Clinical Resource Management

• Competitive Pay to the Market
• Award Winning Work Environment
• Relocation Assistance (where applicable)
• Permanent Position
• Excellent Medical/Dental/Vision
• Paid Time Off

Requirements of the Manager, Case Management/Clinical Resource Management

• 2+ Years of Nursing Leadership Experience
• 5+ Years Nursing Experience
• Recent Experience within the Pediatrics or Case Management
• Active DC RN License (or compact)
• MSN Required
• BLS

Position Description

Operations Management

• Supervise and evaluate the daily work of Case Managers in accordance with departmental and organizational policies.

• Assist with Case Management staffing schedule to ensure adequate coverage and optimize productivity . Assign coverage and deploy staffing accordingly .

• Function as a resource to staff and takes steps to resolve issues that arise internally and with payors and post acute providers.

• Work directly with payors to enhance communication and improve authorization processes.

• Assist with the management of High Risk cases and tracking.

• Participates in budget development and recommends budgets for areas of oversight • Tracks spending for areas of oversight Education

• Provide education to the department and the organization related to payor trends, denial activity, observation status, and utilization/case management outcomes.

• Provide input and oversight to Shared Nursing Leadership's educational activities.

Relationship Building/Information Sharing

• Establish and maintain effective internal and external relationships to optimize achieving departmental and organizational goals.

• Provide information to Case Managers on organizational initiatives and professional trends in practice.

• Represent Clinical Resource Management on organizational committees. Performance Improvement/Outcomes Management

• Ensure Case Management activites are in regulatory compliance (JC, CMS)

• Track clinical, functional, operational, quality and financial data related to Clinical Resource Management

• Implement processes to continually improve performance, reduce denials and optimize reimbursement

• Update CRM Departmental procedures to reflect changes in payor contracts and departmental processes

Job Type: Full-time

Pay: $97,000.00 - $163,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift

Work Location: In person

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