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Staff evaluation, Department redesign and HR education
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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.
As a female-owned organization, Global Care Management is committed to excellence and success through diversity of staff, candidates and clients. We perform our services through a process of inclusion, acceptance and respect to ensure the best overall experience for everyone. Each of us has the right to find the right job and bloom!
Direct Hire:
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.
Consulting:
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!
As Chief Medical Officer of this physician focused start up you will conduct clinical reviews of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews and/or condition committees. Must hold a MD or DO and be board certified. Provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
The selected candidate leads and directs the efforts related to
Utilization Management across Health System. He/She will provide oversight
and ongoing supervision to Utilization Managers and Medical Chart
Auditors. They will ensure effective utilization of resources and staff,
and liaison with appropriate leadership at each hospital within the health
system. The Director of Utilization Management, reports to the health
system Assistant Vice President (AVP) of Care Coordination with operational
accountability to the System Executive for Nursing and Patient Care Services.
Responsibilities.
The Director of Integrated Healthcare Management is the program lead for a team of behavioral and physical health consultants within Care Coordination who will support members with complex physical health presentation. The Director will define physical health outcome targets for those served by the plan's teams and collaborate with Provider Network directors to ensure that desired outcomes from the physical health consultants are consistent with those established for provider Care Management Agencies and Tier 3 Advanced Medical Homes. This position will collaborate with the Directors of Community Care Management and Care Management Support to ensure that a cohesive and well-coordinated approach to whole person care is achieved for the members served and for the staff working within the department.
Responsible for managing the Case Management Department, ensuring collaboration, research, development, implementation, revision and reporting of case management programs in conjunction with the Social Work Department which is responsible for the Emergency Room and Women’s, Infants and Children’s Departments. Creates opportunities and systems to ensure specific patient outcomes are achieved. Responsible for developing and achieving department goals, as well as promoting professional standards in accordance with hospital policy, State and Federal guidelines. Works with other Hospital departments including Health Information Management, Revenue Cycle, Nursing and Physicians to optimize care from both the clinical and administrative viewpoints. Collaborates with other hospital departments as well as outside agencies to ensure appropriate continuity of care.
The Director of Case Management & Social Work reports to the health system Assistant Vice President (AVP) of Care Coordination with operational accountability to the President.
This position provides daily operational oversight, management and leadership for staff of the Case Management Department whose activities are associated with the continuum of care, clinical cost reduction, utilization management, care transitions, population management, clinical social work, quality, performance improvement, reimbursement and discharge planning. Ensures efficient and professional services designed to meet the needs of the patients, personnel, medical staff, students, hospital and health system strategic objectives. Requires extensive knowledge of the continuum, conditions of participation and reimbursement structures. Position requires data analysis, presentations, collaboration with all other disciplines and development of educational programs for hospital and physician staff.
On an annual basis, develop measurable, reasonable and market-oriented goals for the department that reflect those of the hospital, health system and the department. Align these goals with the Health System and Entity Strategic Plans. Ensure the Discharge Planning process and practice is current and in compliance with the CMS Conditions of Participation. Establish policies, procedures and protocols for departmental functions.
This position requires a masters prepared RN or SW
The Social Worker is responsible for providing assessments, planning, interventions and follow-up for patients and family members across the continuum of care. Through this function, by joining the team, you'll have the opportunity to make an impact on our patient's experience. You'll help to provide continuity of care for positive outcomes in our family centered environment.
This position is twenty (20) hours a week with benefits!
You will have the unique opportunity to run your own desk and enjoy life work balance and make money. We're interested in quality, integrity and follow through. These are skills we cannot teach. If you are an experienced recruiter, we can teach you how to recruit for our niche clientele. If you are a Case Manager looking to help coach and place healthcare professionals, we can teach you how to recruit. Join the Global Care Management team today! Contact us today! This position is remote!
RN, Utilization Management, ACO, Texas
RN, Case Manager, Full Time, Hospital, Massachusetts
RN, Case Manager, Full Time, Hospital, Pennsylvania
RN or LVN, Nurse Care Coordinator, California
We have other positions not listed - please call for more information
800-674-4270
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
CMSAtoday
January 4th 2022
Successful Tips for Submitting Your Resume in a Digital World
BY MARIANNE DiMOLA AND NADINE M. CARTER, RN, BSN, CDMS, CCM, MBA