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Staff evaluation, Department redesign and HR education
Contract to Hire!
Global Care Management is an all-female owned (click below to learn more about us!) boutique style agency that brings 35+ years of combined experience in health care recruitment. Specialists in the world of Care Management staffing and consulting, which also includes Utilization Management, Quality Improvement, Appeals and Denials as well as Physician Advisors and CMO’s. We have successfully led HEDIS projects and the redesign of care management departments.
We partner with our clients in the search for the best candidates for critical open jobs under the umbrella of Care Management, enabling them to maximize the balance of patient and financial needs, for better overall outcomes.
In collaboration with key executives, Global Care Management offers a comprehensive evaluation of their Care Management team/department and recommendations to achieve employee satisfaction and better patient outcomes.
Recruitment Process Outsourcing:
Give your valued Human Resources team a break, enabling them to focus on other crucial HR activities, and let us support them by handling Care Management recruitment. We are not here to replace your HR team… in fact, our approach is quite the opposite. Our services are designed to come alongside and collaborate with HR, working together to achieve the organization’s critical hiring needs. We can offer our clients full or partial RPO services. Our primary goal is to source the very best candidates who will help our clients achieve better patient outcomes.
Looking for a job, is a full time job! With over thirty years experience, we know how to listen. We are interested in your skills and career goals and matching you with the best opportunity.
We work with employers that you will want to work for based on reputation, environment, stability, internal growth and uniqueness within health care. Success for us is not just finding stellar candidates, it’s finding outstanding employers for those stellar candidates. We are focused and familiar with both candidates and clients, enabling us to make the best possible match for both sides.
Let us do the work in your next search!
We look forward to working with you!
Provides direction of operations by departments focused on the achievement of satisfactory patient outcomes, including overall responsibility for the coordination of care services provided by the hospital or within the continuum of care. Responsible for coordinating with the medical group and appropriate staff to ensure a seamless transition of patients across the continuum of care. Oversees the utilization management functions across the region.
Ensures compliance with administrative, legal, and regulatory requirements of the Health Plan contract and governmental and accrediting agencies. Oversees the development of department standards as identified by regulatory agencies, including The Joint Commission, NCQA, CMS, DHS, DPHS, and DMHC. Maintains a state of continuous regulatory readiness. Maintains oversight of the concurrent and retrospective inpatient reviews and appeal process. Collaborates with other Service Directors, SNF, Rehab, DME and Transport in identifying and implementing innovative models and best practices, develops services that achieve a high level of customer satisfaction. Utilizes research data to implement clinical changes and the delivery of patient care and member services. Evaluates processes and makes recommendations to improve resource management systems and patient care outcomes.
The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.
The Manager of UR will work in partnership with the Director of UR to ensure that utilization management activities are completed accurately, timely, and in compliance with regulations.
This is a growth position!
Develops and monitors the social services programs. Establishes and maintains, standards, quality levels, cost effective, and customer focused services. Establishes interfaces with community services.
Department administrator with Market lead responsibility as well. Establishes and enforces policies, procedures, standards and objectives. Directs and supervises staff as well as workflow. Provides education and support to medical staff, hospital staff and Governing Board around Quality, Patient Safety and Risk initiatives. Facilitates performance improvement activities and CQI activities throughout the hospital. Acts as resource person to administrative teams across the Market, local Hospital leadership, department managers and medical staff. Supports clinical risk management functions. Maintains oversight of infection control activities and monitors outcomes to care related to infection control indicators. Assists department managers with preparation for medical staff committees. Oversight responsibility for all regulatory body surveys. Maintains oversight responsibility for all performance improvement activities conducted throughout the institution. Supports the coordination of medical staff peer review.
We have other positions not listed - please call for more information
Too many times the words supported, participated, help, review, insure, demonstrated is used instead of using a Power Words that truly describes the action taken.
A resume is your time to your shine, boast and brag. Below is a list of Power Words, please use them in your resume and be proud!
Advised Advocated Edited Accelerated Achieved Administered Advanced Aligned Analyzed Assembled Attained Audited Authored Awarded Boosted Briefed Built Calculated Capitalized Centralized Chaired Charted Clarified Co-authored Completed Composed Conserved Consolidated Consulted Controlled Converted Coordinated Counseled Created Cultivated Customized Decreased Defined Delivered Designed Developed Devised Directed Earned Educated Engineered Enhanced Established Examined Exceeded Executed Expanded Expedited Explored Facilitated Fielded Forecasted Formalized Formed Formulated Founded Furthered Gained Generated Guided Headed Hired Identified Illustrated Implemented Improved Incorporated Informed Initiated Instituted Integrated Interpreted Introduced Investigated Launched Lobbied Mapped Maximized Measured Mentored Merged Mobilized Modified Motivated Operated Orchestrated Organized Outpaced Outperformed Overhauled Pioneered Planned Produced Programmed Promoted Qualified Quantified Reconciled Redesigned Refined Refocused Remodeled Reorganized Replaced Resolved Restructured Revamped Reviewed Showcased Simplified Spearheaded Standardized Streamlined Strengthened Succeeded Supervised Surpassed Sustained Targeted Tested Tracked Trained Transformed Unified United Updated Upgraded Yielded
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