BJC Careers

Case Coordination Manager

Saint Louis, MO
Case Coordination


Job Description

Job ID: 1177120
Employment Status: Full-Time
Regular/Temporary: Regular

Your Career. Made Better.

Founded in 1879, St. Louis Children’s Hospital is the seventh oldest pediatric hospital in the United States and the oldest west of the Mississippi. More than 275,000 children receive care each year at Children’s Hospital, and it has seen patients from all 50 states and over 60 countries. St. Louis Children’s Hospital is ranked as one of the top 10 pediatric hospitals in the nation by US News & World Report and Parents magazine . The hospital’s academic and physician partner, Washington University School of Medicine, is consistently listed among the top medical schools in the country.


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Role Purpose

Responsible for the management direction and coordination of Case Management, components of the Care Coordination Department. Plans, directs and implements all services related to case coordination, concurrent review, and utilization management programs, ensuring compliance with TJC, state and other regulatory agencies. May be responsible for per-certification and social services.


Responsibilities

  • Manages designated aspects of the case coordination, precertification, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital, and to minimize patient liability.
  • Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
  • Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to changes in the business which may affect the ability to achieve the budget goals.

  • Minimum Requirements

     

    Degree

  • Bachelor's Degree
  • - Nursing

     

    Experience

  • 5-10 years
  •  

    Supervisor Experience

  • 2-5 years
  •  

    Licenses & Certifications

  • RN

  •  

    Preferred Requirements and Additional Job Information

     

    Degree

  • Master's Degree
  •  

    Experience

  • 10+ years
  •  

    Supervisor Experience

  • 5-10 years
  •  

    Licenses & Certifications

  • Certified Case Management (CCM)
  •  

    Clinical - Direct Skills

  • Pediatric Nursing - 2 years or more
  •  

    Additional Job Information

  • 40 Hours per Week -
  • Benefits Eligible -

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Memorial Medical Group, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer