Director of Case Management

Tenet Healthcare Corporation • Memphis, TN

2d • Onsite

About The Position

The individual in this position has overall responsibility for hospital
utilization management, transition management, and operational management of the
Case Management Department in order to promote effective utilization of hospital
resources, timely and accurate revenue cycle processes, denial prevention, safe
and timely patient throughput, and compliance with all state and federal
regulations related to case management services. This position integrates
national standards for case management scope of services including: Utilization
Management supporting medical necessity and denial prevention; Transition
Management promoting appropriate length of stay, readmission prevention and
patient satisfaction; Care Coordination by demonstrating throughput efficiency
while assuring care is the right sequence and at appropriate level of care;
Compliance with state and federal regulatory requirements, TJC accreditation
standards, and Tenet policy; and Education provided to physicians, patients,
families, and caregivers.

Are you a results-driven leader ready to make a meaningful impact to patients,
caregivers, and your community? At Saint Francis Hospital hospital, were seeking
an innovative and experienced healthcare leader to drive excellence and inspire
our team towards exceptional patient outcomes and operational success.

At Saint Francis Hospital, we understand that our greatest asset is our
dedicated team of professionals. That’s why we offer more than a job – we
provide a comprehensive benefit package that prioritizes your health,
professional development, and work-life balance. The available plans and
programs include:

Medical, dental, vision, and life insurance
401(k) retirement savings plan with employer match
Generous paid time off
Career development and continuing education opportunities
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and
critical illness insurance, long term care, elder & childcare, auto & home
insurance

Note: Eligibility for benefits may vary by location and is determined by
employment status

Saint Francis Hospital-Memphis is a 479-bed full-service hospital located at
5959 Park Avenue in Memphis, TN.Offering a wide array of medical services, Saint
Francis is noted for its many Centers of Excellence, including its Center for
Surgical Weight Loss, Joint & Spine Center, Heart & Vascular Center, Chest Pain
Emergency Center, and Surgical Services including its Center for Robotic
Surgery, Diabetes Center, and Cancer Center.The hospital has been recognized for
excellence of care by United Healthcare, CIGNA, Blue Cross/Blue Shield, and
Aetna. Saint Francis Hospital serves as an academic training site for University
of Tennessee Surgical, Family Practice, and Psychiatric Residents. The hospital
is accredited by the Joint Commission on the Accreditation of Healthcare
Organizations, the nations oldest and largest hospital accreditation agency. At
Saint Francis Healthcare, you can grow your career skills and be a vital member
of our team where we strive to be No. 1 in quality, safety and service
excellence. Join our team!

Responsibilities

• overall responsibility for hospital utilization management
• transition management
• operational management of the Case Management Department
• promote effective utilization of hospital resources
• timely and accurate revenue cycle processes
• denial prevention
• safe and timely patient throughput
• compliance with all state and federal regulations related to case management services
• Utilization Management supporting medical necessity and denial prevention
• Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
• Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
• Compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy
• Education provided to physicians, patients, families, and caregivers

Benefits

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees