We are currently looking for a Case Management Director for our hospital partner in Shreveport to lead and manage Case Management efforts for the facility.
Overall responsibility for hospital utilization performance improvement and operational management of the Case Management Department to assure effective throughput and reimbursement for services provided
Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement
Ensure medical necessity review processes are completed accurately
Ensure timely and effective patient transition and planning to support efficient patient throughput
Implement and monitor processes to prevent payer disputes
Develop and provide physician education and feedback on hospital utilization