CTG SUPERVISOR, CASE MANAGEMENT in Linthicum, Maryland
Title: SUPERVISOR, CASE MANAGEMENT
Job Number: 17203404
SUPERVISOR, CASE MANAGEMENT
Our client in the healthcare industry has an immediate opportunity for a SUPERVISOR, CASE MANAGEMENT in Linthicum Heights, MD. This is a full time, direct placement opportunity!
If you are selected for this opportunity, you will be reporting to the Manager of Case Management, and will be surrounded by colleagues who are dedicated to meeting their own high standards, to inspiring their teammates and to making a positive impact on individuals.
Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to facilitate daily department functions.
Assure compliance with established referral, pre-certification and authorization policies, procedures and processes by related Medical Services staff.
Assure compliance with established onsite and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes.
Assure compliance with emergency management policies, procedures and processes.
Facilitate on-going communication between case management staff, utilization management staff and contracted providers.
Assist with the implementation of policies and procedures regarding medical case management.
Maintain compliance with federal and state regulations and contractual agreements.
Coordinate and communicate medical service functions with other departmental functions.
Act as medical resource for appeals function.
Assist Medical Services staff with computer systems issues related to case management.
Conduct telephonic review of cases with doctors, hospitals, and other providers.
Compile and review multiple reports for statistical and financial tracking purposes to identify case management trends and assist in financial forecasting.
3 years of nursing experience in an acute care setting particularly in a medical/surgical, pediatrics, or obstetrics environment.
1 year of case and/or utilization management experience.
Working knowledge of a specialized or technical field such as clinical nursing, case and/or utilization management.
Previous experience as a lead in a functional area or managing cross functional teams on large scale projects. Data management experience preferred.
License/Certification: Valid driver's license. Current state's RN license.
To be considered:
Please immediately apply to this requisition using the link provided. For additional information please contact Kim at Kimberly.McGrath@ctg.com.
CTG is the most reliable IT services provider, built on 50 years of meeting our commitments to make technology work for clients and deliver real business value. CTG provides industry-specific IT strategy, services, and solutions that address the business needs and staffing challenges of clients in high-growth industries, including major technology companies, large corporations, and government entities located in North America and Western Europe.
CTG's greatest asset is its people, and as such we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work Company by Modern Healthcare (since 2013) in North America, and a Best Places to Work Company in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).
CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.
CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.
Job: Technology & Healthcare IT