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Department: Care Management Admin - RO
Schedule: Full Time - Regular
Shift: Days
Hours: Full Time - Regular-8a - 4:30pm, 1 wkd. per month
Job Details:
  • Under the direction of the Director of Care Management, the Administrative Manager is responsible for supervision and coordination of all activities related to the Care Management/Appeals process.  Supervisory responsibilities include:  Registered Nurses, Utilization Appeals Coordinators, and support staff.  Manages all day-to-day payor requirements, reimbursement and supervision of direct subordinates in assigned service line.  On-call for questions and support (24 hours/7days per week).

    Requirements: RN, BSN and 5 years clinical experience required, supervisor/management experience required. Utilization management, appeals and discharge planning experience required.  MSN highly preferred.

    Preferred:  Education program development, teaching experience preferred.  Knowledge of Beaumont Health System and utilization/discharge planning process and appeals/denials management.  Highly self-motivated, excellent interpersonal and communication skills, leadership and decision making abilities.  Understanding of the role and function of state and governmental agencies, as related to the health care systems.  Excellent written and oral presentation skills.  Computer skills, data extrapolation and understanding of basic marketing techniques creativity in planning and designing programs.


     

     


     

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William Beaumont Hospital is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, or status as a qualified individual with a disability.




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