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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 have leadership positions throughout the country !
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.
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.
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.
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!
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
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
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
We look forward to working with you!
We know that each employment situation is unique. Send us a message with your questions or concerns, and we'll get back to you with answers as soon as we can.
(800) 674-4270 Follow us on LinkedIn https://www.linkedin.com/company/global-care-management/