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AVP - Case Management
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Full-time
- This job provides leadership and direct oversight for case management and social services including utilization management, discharge planning, precertification and denials management, retrospective Medicaid, medical necessity denials and care transitions for the organization.
- Experience with insurance precertification, utilization management and diagnosis-related group (DRG) management.
- Certification in case management (ACM, CCM, HCQM, CMAC).
- Proficiency in using computers, software, and web-based applications, including Microsoft Office and Case Management Information Systems (CMIS).
- Supervises case management leaders and all associated personnel and oversees program development, utilization review, discharge planning, documentation assurance and perspective payment system management activities throughout the health system.
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