Finding the brightest healthcare professionals, to achieve better outcomes!
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Services
Care Management and Related Positions
Care Management and Related Positions
Care Management and Related Positions
Direct hire!
Care Management Consulting
Care Management and Related Positions
Care Management and Related Positions
Staff evaluation, Department redesign and HR education
Recruitment Process Outsourcing
Care Management and Related Positions
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. 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.
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...
Director Case Management, RN, Idaho
- Leads and oversees a multi-functional clinical team responsible for driving the highest quality care coordination, patient experiences and outcomes. Functional areas of accountability may include Case Management, Social and Behavioral Services, Rehabilitation Services and/or Home Care/Hospice. Works with the Post-Acute Care Center of Excellence (CoE) to develops and implements clinical standards of practice, clinical supervision policies, procedures and practice protocols to ensure excellent patient care and quality outcomes through coordination of care across the continuum.
- Partners with Center of Excellence (CoE) and area leadership to implement and execute on focused strategies, including patient throughput and placement; cost and utilization optimization; care coordination; and quality outcomes. Manages planning with initiation of departmental goal setting and tracking on a regular basis.
- Serves as a subject matter expert on benefits and any limitations therein, and provides guidance on how to address member/patient needs when benefits are limited. Consults on the impact in the continuum for all initiatives that result in a shorter hospital length of stay. Partners with leaders to address patient placement barriers.
- Leads efforts to connect with community resources and within the local post-acute care industry in order to develop relationships and to stay connected to industry changes and new regulations.
- Provides leadership and oversight for effective fiscal management, performance improvement activities, and compliance with all relevant policies/procedures and regulations. Actively participates in the budget and goal setting process.
- Direct human resource initiatives and talent management efforts for designated areas. Provides leadership, guidance, development and continuing education to staff. Selects, develops, coaches, mentors, and assesses performance of staff.
- Interacts with operating units and area leadership teams to provide consultation, influence decisions and identify and resolve critical issues.
- Develop positive working relationships with all internal and external stakeholders and customers.
We have leadership positions throughout the country !
Manager of Utilization & Denials, Pennsylvania
Under the direction of the Senior Director, Case Management, the Manager Utilization Review (UR) has responsibility for oversight of the development, implementation and performance management of the Utilization Review and Denials Prevention program across the health system. The Manager is responsible for utilization review and authorization management services, to promote appropriate level of care, length of stay, and prevent payer denials.
The Manager Utilization Management manages daily operations, which include supervising the staff performing utilization management and denial prevention activities. This role functions as the internal resource on issues related to utilization review and management. The manager is responsible for carrying out assignments in a manner to assure success in financial management, human resources management, leadership, quality and operational management objectives.
Supervisor of Utilization Management, Washington
The Supervisor, Utilization Management will provide a key system role in facilitating and managing the utilization management program for the Health System. The Supervisor has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. Demonstrated clinical expertise related to a wide variety of patient populations and care delivery models.
This individual supports the program by developing and maintaining effective, efficient processes for determining the appropriate admission status based on regulatory and reimbursement requirements of commercial and government payers. This individual actively participates in process improvement initiatives, working with multiple departments and multi-disciplinary staff. This role requires current knowledge regarding commercial and government payers as well as accreditation regulations/guidelines/criteria related to utilization management to effectively lead the team.
Health Information Management, Manager, Massachusetts
Responsible, under the guidance of the Director of Health Information Management for professional management of departmental operations including: supervision of HIM staff (clerical and coding); development and oversight of workflow and processes, monitoring/compliance with coding and release of information parameters, HIPAA, DNV regulations, supporting Director in recruitment and hiring of staff as well as implementation of personnel related initiatives and actions. Serves as point person for daily workflow, established processes, staff issues and associated problem solving. Serves as department representative in the absence of the HIM Director.
Healthcare Recruiter, Remote
You will have the unique opportunity to run your own desk and enjoy life work balance. 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 Global Care Management today!
RN Case Manager, Massachusetts, California, Washington, Pennsylvania
Working in collaboration with the patient/family/legal representative, social workers, physicians, and interdisciplinary team, the RN case manager is accountable for assessing, coordinating and facilitating patient progression through the continuum of care in an efficient, cost effective manner. The RN Case Manager must achieve this through early assessment of pre-admission level of care, post hospital discharge needs, review of available resource and timely, focused communication with the healthcare team and patient/family/legal representative.
We have other positions not listed - please call for more information
800-674-4270
Power Words
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
Articles
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