Director, Case Management in Michigan

The Group Director, Case Management will perform the functions necessary to support and advance Tenet’s Case Management strategy. Will support the advancement of Case Management as a leader, mentor, and consultant. 

• Will execute on the strategic plan and will provide subject matter expertise for Case Management regulations and standards, including ensuring compliance with all state and federal regulations. 
• Will ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient throughput.
• Includes integration of 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. 
• Further, includes care coordination by demonstrating throughput efficiency while assuring care is the...

The Group Director, Case Management will execute on the strategic plan and will provide subject matter expertise for Case Management regulations and standards, including ensuring compliance with all state and federal regulations. 

·      Will ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient throughput.

·      Includes integration of 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. 

·      Further, includes care coordination by demonstrating throughput efficiency while assuring care is the right sequence and of the appropriate level.

·      Will...