Gila Regional Medical Center

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Director of Case Management

at Gila Regional Medical Center

Posted: 9/24/2019
Job Reference #: 3399
Keywords: hospital, health, patient

Job Description

Location:
GRMC-Silver City

Department:
8500 DISCHARGE PLANNING

Job Summary: 

The Director Of Case Management/Utilization Review is responsible for coordinating the hospital Utilization Review Programs, Care Coordination, Discharge Planning, and Clinical Social Work.  Assess Utilization Review, Denials and Appeals, Collaborates and facilitates payer mix reimbursement. S/he serves as a resource for the C/AVP Team concerning strategies which are efficient, effective, timely, patient-centered, and support appropriate financial reimbursement. Participates in the certification of patient stays and improving the appropriate use of resources.  S/he conducts discharge assessment in order to evaluate a patient’s current and future concerns, facilitates and coordinates post-hospital care and interacts with the health care team to enhance the social, emotional and psychological care of the patient, family and significant others.  

Qualifications: 

  • New Mexico or multi-state RN license
  • Bilingual, preferred
  • Case Management Certification, preferred. 
  • BSN preferred.   
  • Three years experience in Case Management / Utilization Review Preferred
  • BSN Preferred
  • Acute Discharge Planning experience in a medical setting
  • Prior supervisory experience preferred

Note:  Job description available upon request.

**All required documents must be presented at time of hire.**

EXTERNAL APPLICANT:  Employment is contingent upon successful completion of pre-employment drug and alcohol testing.

GRMC is an Equal Opportunity Employer