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RN Director | Case Management

San Luis Obispo, CA
Located 190 miles north of Los Angeles on the Central Coast region, San Luis Obispo is a city of 45,000 residents that was named the happiest city in America by author and researcher Dan Buettner. Just recently San Luis Obispo was part of the USA Today and Rand McNally's Best of the Road competition across the US (San Luis Obispo was named one of the friendliest towns in America). This historic college town between California’s mountains and its rugged Pacific coast seems to have it all. Residents have much from which to choose - from between hiking, biking, beaches and sunshine, golf, daily farmers markets, and wine tasting. There is so much happening in San Luis Obispo, you’ll soon understand why it is the happiest town in America.
Looking for a change of scenery? We seek a Registered Nurse with two (2) or more years of acute care case management experience for the role of Director of Case Management. The person in this role will assume 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; and Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care.
Candidates must have a Bachelors degree in Nursing and be licensed as an RN in the state of California (or have the ability to gain this licensure). Preference given to candidates with a Masters degree. Candidates must have five (5) or more years of acute care case management experience that includes two (2) or more years of leadership experience. Business planning experience preferred. McKesson InterQual® experience preferred.
The role offers highly competitive compensation and great benefits that include a 401(k) savings plan, income replacement, medical/vision/dental/life insurance after 31st day of employment, paid time off program, online educational program, tuition reimbursement, student loan repayment program, and an employee stock purchase plan. For more information call 941.739.1400 or submit your resume now by clicking on the button below that says "Apply Now."
Eric Boelkins
Edge Recruitment Solutions
888.666.2450 or 941.739.1400
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