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Nurse Executive Director Hospital Case Management

Company: Clinical Management Consultants
Location: Anaheim
Posted on: June 5, 2021

Job Description:

Executive Director Hospital Case Management


A large healthcare system in the Los Angeles area is eagerly recruiting for an Executive Director of Hospital Case Management to work across their healthcare enterprise. The Executive Director Hospital Case Management will utilize their diverse industry knowledge as they oversee clinical access, case management, social work, palliative care, multi-specialty care within a dynamic health system that offers:

  • Multiple Acute Care Hospitals
  • A Women’s and Children’s Hospital
  • Ambulatory Surgery Centers
  • Numerous Outpatient Clinics

The Executive Director Hospital Case Management will work with the Vice President of Patient Care Services and various Nurse Directors. This dynamic position leads Case Management/Utilization Management at two campuses with a combined 40,000 patient admissions annually. The Executive Director of Hospital Case Management supports with financial analyses including cost of care to reimbursement, denials management, and non-reimbursed services, promoting effective resource utilization, quality care and patient safety; oversees the Inpatient recovery process; works closely with Revenue Cycle and Physician Advisors; regularly communicates with payors.

The experienced patient care teams, discharge planners and clinical social workers work collaboratively with one another to ensure quality and appropriate patient care is delivered to the thousands of patients cared for annually. The Executive Director Hospital Case Management will be a local resource for all inquiries and support needed related to: InterQual criteria methodology, resource management, medical necessity guidelines payer sources, clinical outcome metrics, length of stay initiatives, readmission strategies, reimbursement rules and medical record documentation requirements.

Located in the highly sought-after coastal community of Los Angeles, this hospital system is in a prime location. Area housing prices have recently decreased and the local communities offer family friendly neighborhoods. The Executive Director of Case Management will find this hospital system supportive and a long-term home. Area businesses continue to thrive and work for the entire family is available at large enterprise companies and small neighborly boutiques.


Keywords: Clinical Management Consultants, Anaheim , Nurse Executive Director Hospital Case Management, Other , Anaheim, California

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