Our facility provides comprehensive inpatient and outpatient services.

Job Benefits:

• 401(k) with a 50% match up to 6% of pay, employee stock purchase plan, flexible spending accounts, retirement readiness tools, rollover support, and financial well-being counseling.
• Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
• Wellbeing support through an Employee Assistance Program (EAP).
• Paid time off and long- and short-term disability coverage.
• Education support including tuition assistance, student loan assistance, certification support, and online educational programs.

Responsibilities:

• Oversee department operations to ensure effective throughput and reimbursement for services provided.
• Lead the implementation and oversight of the hospital Utilization Management Plan, using data to drive performance improvement.
• Ensure compliance with CMS regulations and hospital policy regarding medical necessity and revenue cycle processes.
• Manage patient transitions and planning to support efficient patient throughput.
• Implement and monitor processes to prevent payer disputes.
• Develop and provide physician education and feedback on hospital utilization.
• Participate in the management of the post-acute provider network.
• Ensure compliance with state and federal regulations and TJC accreditation standards.