Monday, October 7, 2013

DIR-CASE MANAGEMENT



Description

Desert Regional Medical Center has provided a full range of quality medical care to one of the world's most famous resort area since 1951. Our 367 bed acute tertiary care facility is fully accredited by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), the nation's oldest and largest hospital accreditation agency.


We are located in Palm Springs, California, historically renowned as a legendary celebrity getaway and resort community. The dramatic desert environment offers spectacular views of the beautifully landscaped gardens, royal palms, majestic mountains and clear blue skies. Palm Springs and the fast-growing surrounding areas offer a variety of well-known restaurants, shops, cultural activities such as theater, museums and film festivals, and outdoor recreation including championship golf, tennis, hiking and horseback riding.


This position is responsible for the day-to-day operations of Case Management, Social Services, and Bed Control at Desert Regional Medical Center. Oversight of the utilization management process, supervision of RN and SW staff who conduct admission and concurrent reviews, discharge planning and reimbursement authoriztion; data management of utilization patterns by payer, physician, diagnostic-related group, and procedures; identification of process delays and collaboration with staff and physicians to expedite care, and present relevant information to the appropriate departmental and medical staff. Management of the DRG Assurance Program which assists physicians with understanding documentation and coding rules through direct education and inquiries. Assure accurate coding of Diagnostic-Related Groups, complications and co-morbidities. Required: Extensive management and clinical experience Experience in improving organizational performance Experience in facilitating and leading multidisciplinary teams Strong written and verbal communication skills Demonstrated ability to organize and work with groups of people Ability to present data to professional groups and institute changes based on the data presented Demonstrates effective problem solving and decision-making skills Preferred: Registered Nurse with a BSN, management experience and at least 3 years of experience as a case manager






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