NHS Solutions has an opening for an experienced Interim Leader in Care Coordination. The Care Coordination Manager works in collaboration with the Director and VP of Care Management to manage and implement the strategic plan for the Care Coordination departments as assigned. The Care Coordination Manager collaborates with the Utilization Management Physician Advisor/or Medical Director. The Care Coordination Manager reports to the Care Coordination Director. Reporting to this position are RN Case Managers Case, Management Assistants and/or Social Workers and other support staff as determined by the Director. The Manager of Care Coordination has frequent contact with the Administrative Team, Nurse Executive and Directors, Quality Directors, Ancillary Services Directors, Claims and Finance Department leaders, Medical Directors, Medical Staff leaders, physicians, payers and review agencies, contracted providers and community resources as well as contact with patients/families. This opportunity is in a fantastic location with an initial expected assignment length of 90 days.

Key Requirements:
  • BSN
  • Broad knowledge base of health care delivery and case management within a managed care environment
  • Comprehensive knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but not limited to:  CMS, Title 22, CHA Consent Manual, and TJC
  • Experience leading innovative case management programs
  • Strong problem resolution abilities and customer relation skills
  • Experience planning, leading and organizing the resources of a team preferred
  • Experience in patient care or health education in variety of settings preferred
  • Experience in utilization management and discharge planning required
  • Leadership experience in acute case management required
  • Experience with clinical assessment for clients with complex medical, emotional and social needs
  • Experience in coordinating UM Committees/and or Clinical Review teams
  • Experience coaching, counseling and administering corrective action

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Specialty*
Behavioral HealthCardiac Services/Cath LabCase ManagementEmergency Rm (ER)/ Emergency Dept (ED)Health Info Mgmt (HIM)/Med RecordsICU/CCULaboratoryMed-SurgOncologyPatient Care/Nursing ServicesPost Anesthesia Care Unit (PACU)QualityRisk ManagementSurgical Services/OR/PeriopWomen & Child Svcs/OB/Labor & DelivOther