Certification DetailsRequired Certifications: RN required, AHA BLS, CCM/ACM preferred
Job DetailsInterim Leader position available at Duke Lifepoint Hospital, which is the largest healthcare provider in west central PennsylvaniaFlagship hospital of Conemaugh Health SystemTertiary care regional referral hospitalLevel 1 Trauma CenterLevel 3 Regional Intensive Care NurseryHigh Risk OB
Job RequirementsMUST have director experience at hospital >150 bed, managing large teams (approx 20)Acute, LTAC, SNFs, and TCU Experience (CM Director will need to keep Transitional Care Unit full)MUST have EPIC experience, InterQual, discharge planning, Conditions of Participation, CMS guidelines requiredWill need to provide education and guidance with providers
Schedule InformationWeekend Hours: Every other weekendCall Requirements: No formal call. Available for department needs
Unit Specific InformationFacility Department/Cost Center: Case ManagementTitle: Market DirectorReason for Interim: Need to make immediate CM impact within 30 days of startSpecialty: CMNumber of Hospitals: 4 but primary duties will be at Conemaugh MemorialIs UR a separate department, or a part of CM? CM have oversight. Opportunity to improve here.Common Diagnosis/Treatment: Trauma, CHF, Sepsis, COPD, Pneumonia, UTI, CVA, Acute Renal FailureTop objectives include Monthly executive review with hospital and division leadership, Implement necessary changes for immediate impact on metrics
Additional DetailsCare Coordination, Care progression, Discharge Planning, Denials Prevention, Denials Management, Utilization Management, Utilization ReviewProfessional and Personality Fit includes facilitating enjoyment of work, fosters mentorship, effective one-on-one conversations, utilizing KPIs in performance improvement, has financial acumen, advances team performance with prioritization, delegation, and time management
