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Director of Care Management
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- Description: DIRECTOR OF CARE MANAGEMENT Geneva, New York Education RequirementsMasters in NursingLicensureRequired: Current New York State Registered Professional Nurse licensure.
- Knowledge and experience in developing utilization management and revenue recovery strategies.
- Supervises professional and clerical employees who work with a range of functions, including but not limited to: access, pre-authorization and precertification, bed placement, coding, utilization review and denial management, care coordination collaborative treatment planning and core measures, discharge planning, clinical social work, tracking of the post-acute period and provision of disease management, and contracting internally and externally.
- Partners with the CMO for effective relationships with physicians, services, specialties, etc.
- Establishes effective communication systems and forums with third party payers, the local PRO/QIO, Medical Records, and the managed care and finance offices.
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