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Director, Utilization Review and Social Worker Services Exempt

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Director, Utilization Review and Social Worker Services Exempt

Los Angeles, California, 90027

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Full Time
Onsite
$200000 - $235000/yr
supports..pdf, .doc, .docx, or .txt file

Job Summary

The Director is responsible for overseeing the management of hospital utilization, transitions, and case management activities. This role is crucial in ensuring effective patient flow and adherence to regulatory standards. In addition, the Director addresses the psychosocial requirements of patients and collaborates with revenue cycle management to enhance both financial and clinical results.

Responsibilities

  • Oversee hospital utilization management to ensure efficient operations.
  • Manage transition and case management to facilitate patient throughput.
  • Address psychosocial needs of patients effectively.
  • Collaborate with revenue cycle leadership to optimize outcomes.
  • Ensure compliance with regulatory requirements related to hospital operations.

Qualifications

  • Bachelor’s degree in Business, Nursing, or Healthcare Administration, or a Master’s degree in Social Work.
  • Active RN or LCSW/LMSW license required.
  • A minimum of 3 years’ experience in acute hospital case management or healthcare leadership.
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supports..pdf, .doc, .docx, or .txt file