Finding the brightest healthcare professionals, to achieve better outcomes!
Let our team help with resume services and job searches!
Services
Care Management
Recruitment Process Outsourcing
Care Management Consulting
Direct hire!
Care Management Consulting
Recruitment Process Outsourcing
Care Management Consulting
Staff evaluation, Department redesign and HR education
Recruitment Process Outsourcing
Recruitment Process Outsourcing
Recruitment Process Outsourcing
Contract to Hire!
About Us
About Us
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. We have successfully led HEDIS projects and the redesign of care management departments.
We have successfully placed people in:
- Care Management
- Appeals & Denials
- Quality/STARS
- HEDIS
- Utilization Management
- Clinical Documentation Improvement
For Our Clients
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.
For Our Candidates
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!
Some of our current opportunities...
Care Coordination Director California
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 in accordance to policies and procedures as well as federal, state and local regulations.
Essential Responsibilities:
- Directs, organizes, plans and coordinates the utilization/ resource management and social services process assuring that the organizational goals and objectives are met.
- Directs development and implementation of quality and utilization standards across the hospital to ensure coordinated plans of treatment, customer focused delivery of services, and cost effective utilization of necessary services. 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 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.
- Participates in Executive Team's strategic planning forums. Utilizes data to support quality patient outcomes and presents to Executive Team ongoing and reliable information about the treatment and patient flow throughout all levels of care and providing expertise in utilization management, regulatory compliance and coordination of care.
- Directs through managers all activities within the Resource Management department including Social Services. Responsible for efficient utilization of resources and develops processes to screen, interview, hire, train, and maintain the competency of all department staff. Develops, implements, and monitors departmental policies and procedures which support and meet the organization's goals and business objectives. Manages and resolves human resource, labor relations, employee, and department safety and risk management issues.
- Participates in region wide peer group and leadership activities to drive consistency of operations and performance improvement. Develops and manages systems and relationships with outside vendors; contract and quality oversight with external vendors.
- Develops budget and resource allocations for areas of responsibility. Manages the financial performance and identifies and implements appropriate strategies to reduce costs and improve quality of care and services. Focuses on prevention/intervention and identification if issues/problems prior to their impact on operations and patient care; recommends and develops new programs for specialized patient populations to improve quality and effect improved utilization of services. Monitors utilization indicators; identifies and escalates issues; and initiates and evaluates action plans for achieving the area's goals/targets.
Manager, Care Management California
The Manager, Regional Care Manager, is responsible for all activities associated with Regional Care Management Programs, Inpatient and Ambulatory. Ensures all Care Management activities are efficient, effective and meet regulatory requirements. Monitors staff performance, provides mentorship and recognizes and manages departmental opportunities that impact outcomes.
- Consistently ensures that the regional Care Management Programs meet and exceed compliance adherence; CMS, health plan delegation and quality
- Develops, implements and analyzes data to support best practice outcomes for Care Management Programs. Meets auditing time frames and proactively manages gaps and interventions
- Identifies need for and participates in the development and implementation of care management operating procedures
- Identifies and proactively manages staffing efficiencies and productivity, ensuring efficient management of resources
- Works collaboratively with staff, stakeholders and Clinicians to provide a patient focused approach to Care Management
- Subject Matter Expert in Care Management Programs and processes
- Supports and guides staff to be accountable in decision making. Develops tools and ensures resources are available to support accountable decision making
- Uses, protects, and discloses our patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Care Manager California
The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their families throughout the continuum of care.The RN Case Manager assists patients in the utilization of appropriate health care services. Position may require Utilization Management and Discharge Planning, Chronic Disease Case Management based on inpatient settings.
Manager Corporate Compliance Colorado - Remote Position
You will provide compliance guidance and support to the Company on compliance related matters, including but not limited to, federal and state fraud and abuse laws and other health care regulatory laws that arise in the context of outpatient centers and related businesses. Liaise between business clients, legal and compliance to ensure fraud and abuse risk is low as it relates to the company's agreements with referral sources. Must have the ability to assess compliance risk while analyzing facts and circumstances outside of the four corners of an agreement is highly desirable.
DUTIES AND RESPONSIBILITIES
- Understand Anti-Kickback Statute and other compliance risks and be able to apply the concepts globally.
- Interpret and apply aspects of Corporate Integrity Agreement (CIA) to referral source agreements, such as medical director agreements, personal services agreements, transactions, and leases.
- Holistically review all documentation and background information for potential agreements with referral sources for fraud and abuse risk.
- Prioritize reviews and initiatives based on business needs and changing priorities
- Regularly interact with business clients to apply compliance principles to business practices.
- Assist other Company compliance teammates, regulatory attorneys, and business clients in identifying and resolving compliance matters.
- Advise on compliance with federal healthcare industry laws and regulations.
- Monitor changes in relevant regulatory areas and provide education to business clients and compliance/legal teammates on those changes.
Psychiatrist Pennsylvania
If you are looking for challenging work, a scenic campus to inspire you, and a collegial team, consider joining a team of 500+ employees who are dedicated to providing compassionate, high quality services that lead to wellness and recovery. Their mission is committed to providing comprehensive, person-centered behavioral health treatment for consumers who suffer from substance abuse disorders, co-occurring medical and psychiatric conditions, and primary mental illness.
The Psychiatrist provides screening, diagnosis, and treatment of acute psychiatric illnesses in accordance with state and federal laws and regulations to treat illness, improve health status, and provide preventative care in a collaborative environment.
Education/Qualification Requirements:
MD or DO degree with a current DEA registration.
Completion of an approved Adult Psychiatry Residency.
We have other positions not listed - please call for more information