Statistical programmer • charlotte nc
K+ Annual Incentive Opportunity + Full Benefits.The Director of Case Management plans, organizes, implements, and directs care coordination activities at Medical Center.He/she is responsible for pr... Show more
Advance your career with Mindlance! We have been connecting talented IT professionals with world-class companies since 1999.Mindlance is here to help you to find the perfect fit with just the right... Show more
Management Analyst (Title 32) Gs-0343-10.As a Management Analyst (Title 32), GS-0343-10, you will analyze maintenance capabilities, production effectiveness, equipment reliability, areas of deficie... Show more
Sr Python Developer (SME)</b></p> <p>Location: Malvern, PA or Charlotte, NC (onsite day 1 for hybrid model) - 3 days onsite (Tuesday, Wednesday, Thursday)<br /> Length: 1+ y... Show more
Interest Rate Risk Banking Book Model Sr Analyst - AVP.Working at Citi is far more than just a job.A career with us means joining a team of more than 230,000 dedicated people from around the globe.... Show more
Director of Financial Planning & Analysis, Charlotte, NC.The Director of Financial Planning & Analysis is responsible for transforming data into strategic insights for the Executive Leadership team... Show more
The CNC Programmer, also known as a Mastercam Programmer or CNC Machining Programmer, is responsible for developing, optimizing, and maintaining CNC programs for precision machined components in ae... Show more
Provide model governance oversight in development of new models or modifications to existing models used for across the customer credit lifecycle, i.Closely partner with data science team and provi... Show more
Join a leading AI lab's cutting-edge GenAI team to be at the core of the AI revolution, where your expertise fuels the development of the most advanced Large Language Models.Overview A leading AI l... Show more
This role manages a team of data scientists responsible for a portfolio of diagnostic, predictive, and prescriptive analytics projects to support data-driven business decision making.Supports the c... Show more
Ameriprise Financial is looking to add a Data Scientist Manager to the team! The individual in this role will play an integral role in supporting modeling and data analysis, campaign execution, and... Show more
Please note that this is for an upcoming position.We are, however, accepting applications for this anticipated need.If you are interested in joining The Building People, we encourage you to APPLY T... Show more
MUST BE ABLE TO WORK ON W2 WITHOUT SPONSORSHIP, NO C2C* * *Description:* Sr.Java Developer Job Description Years of Experience- 8+ Specialty Skills - Java This position is for an Application Prog... Show more
Wells Fargo is seeking a talented Senior Campaign Analytics & Data Science Consultant to join our growing Marketing Analytics team as part of Consumer & Small Business Banking (CSBB).In this role y... Show more
Mercor is seeking **Physics PhD’s (Graduated)** **specializing in one of the following sub-domains:** - **Statistical Mechanics, Condensed Matter & AMO Physics** - **Advanced Quantum, Electrodynami... Show more
Join our dynamic team in Charlotte as a Lead CNC Machinist, where your expertise will drive the precision and quality of our manufacturing processes.We are seeking a seasoned professional who will ... Show more
PeopleSoft Developer (100% Remote, EST Hours) – Job ID: 7588Location: 100% Remote (Must work EST time zone hours).Up to 12 months, with potential for extension.Our direct client is seeking a skille... Show more
Senior Agricultural Underwriter - Crop Insurance.ProSidian Consulting is looking for a Senior Agricultural Underwriter - Crop Insurance (Contract) in CONUS - Varies to support an engagement for a D... Show more
Econometric Data Analyst (Stata SE).Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform.AI labs and enterprises use micro1 to train mo... Show more
The average salary range is between $ 107,050 and $ 163,248 year , with the average salary hovering around $ 130,000 year .
DIRECTOR CASE MANAGEMENT
Charlotte, NC
$-K+ Annual Incentive Opportunity + Full Benefits.
The Director of Case Management plans, organizes, implements, and directs care coordination activities at Medical Center. He/she is responsible for providing oversight and broad direction to case management, which includes care coordination, utilization review, social services, and discharge planning. The Director of Case Management works closely with the medical staff and Medical Center leadership to identify patient care trends and issues. The Director develops care management programs, procedures, and clinical pathways that ensure efficient use of medical resources and provide optimum cost effective, quality care.
Qualifications
This position requires proficiency in working with medical statistics and data, including databases. Experience with medical statistical process and control procedures is required. The Director of Case Management must possess excellent written and verbal communication skills and demonstrate the ability to prepare statistical data and report for formal presentations. The Director of Case Management must effectively interact with individuals who possess diverse personalities and levels of professional expertise.
Education:
Required: Bachelor's degree in Nursing or Health Care Administration for RN or master's in social work for MSW
Preferred: MSN, MBA, MSW, or MHA
Certifications:
Required: Registered Nurse or LCSW/LMSW license. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN or LCSW/LMSW license for state(s) covered.
Preferred: Accredited Case Manager (ACM)
Experience :
Five to seven years of experience with utilization review, clinical pathways, case management, and disease management are required. Supervisory experience is preferred.
Responsibilities
The individual’s responsibilities include the following activities:
a) manage department operations to assure effective throughput and reimbursement for services provided,
b) lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement,
c) ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and the hospital's policy,
d) ensure timely and effective patient transition and planning to support efficient patient throughput,
e) implement and monitor processes to prevent payer disputes,
f) develop and provide physician education and feedback on hospital utilization,
g) participate in management of post-acute provider network,
h) ensure compliance with state and federal regulations and TJC accreditation standards and
Experience:
Required: 3 years of acute hospital case management or healthcare leadership experience
Preferred: 5 years of acute hospital case management leadership multi-site experience
Benefits:
