Unfortunately, this job posting is expired.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Some similar recruitments
Regional Director Of Property Management
Recruited by MSB Resources 8 months ago Address Greater Philadelphia, United States
Clinical Documentation Improvement Specialist (Cdi) - Remote
Recruited by Trinity Health Mid-Atlantic 8 months ago Address Langhorne, PA, United States
Rn Clinical Documentation Specialist
Recruited by Ochsner Health System 9 months ago Address , Philadelphia, Ms
Director Of Property Management
Recruited by MSB Resources 10 months ago Address Greater Philadelphia, United States
Clinical Reviewer - Rn - (Remote)
Recruited by Acentra Health 11 months ago Address Philadelphia, PA, United States
Clinical Director Ibhs Jobs
Recruited by Laurel Life 11 months ago Address Mechanicsburg, PA, United States
Associate Clinical Documentation Improvement Specialist - Remote
Recruited by Optum 11 months ago Address Pittsburgh, PA, United States
Clinical Care Reviewer Rn - Off Hours
Recruited by AmeriHealth Caritas 1 year ago Address , Newtown Square, 19073, Pa

Regional Director - Care Management/Clinical Documentation

Company

Universal Health Services, Inc. - Corporate Office - Remote

Address , King Of Prussia, 19406, Pa
Employment type FULL_TIME
Salary
Expires 2023-07-16
Posted at 1 year ago
Job Description
Responsibilities:
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

The Regional Director of Care Management/Clinical Documentation Improvement is responsible for providing leadership in the development, implementation, and oversight of a care coordination model which will support a patient-centered care delivery model across the assigned region. This position is responsible for the development and implementation of standards, systems, policies, and procedures in alignment with organizational strategic initiatives and that is focused on quality and financial outcomes. Specifically, this position leads region wide efforts to optimize care coordination across the care continuum. The plan of care process will also ensure efficient resource utilization, quality outcomes, and maximize reimbursement. This position oversees the clinical documentation improvement program. This position closely collaborates with others in the corporate office and at the local level to optimize compliance with regulatory and payer requirements and to promote the delivery of high quality, efficient, cost-effective, and appropriate care.

Essential Job Duties:
  • Reviews, prepares, analyzes, and presents reports and recommendations to senior management regarding operations and/or other applicable areas of interest in order to provide concise and accurate information that aids in decision-making. Develops, reviews, and monitors clinical, service and financial outcomes using performance metrics
  • Oversees and/or directs the development, implementation and standardization of region-wide clinical documentation improvement, care coordination, utilization management, and social work services policies, procedures and programs in conjunction with related goals and objectives. Ensures compliance with federal and state regulations, as well as established organizational policies and procedures
  • Establishes and oversees the development and implementation of programs, short and long-range goals and objectives and determines the optimal progression to obtain these goals. Reviews analyses and reports of various activities to determine department progress toward stated goals and objectives
  • Maintains effective communication and a strong leadership presence with executive partners, senior leaders, internal and external customers to coordinate and adequately address patient care needs
  • Provides oversight for the medical necessity reviews, denials management, and utilization management supporting all areas of the organization within the assigned region. This includes strategy development which will improve reimbursements and reduce denials as related to federal, state and commercial programs in partnership with UHS Partners
  • Fosters integration and strong clinical partnerships with Hospitalists, physician advisors, local physician leadership and clinical integration activities in order to optimize care coordination across the care continuum, ensure efficient resource utilization, improve quality outcomes and enhance patient satisfaction
Qualifications:
Current RN license and Bachelor's Degree with a minimum of 8-10 years' experience required. Master's Degree preferred.
  • Extensive understanding of case management practices/clinical documentation and knowledge of reimbursement methodologies
  • Effective leadership, human relations and communications skills
  • Analytical and conceptual system-thinking and the ability to manage multiple projects
  • Ability to effectively engage physicians, payers, management level staff, employees, and stakeholders in order to build partnerships, achieve strategic initiatives, and attain organizational goals
  • Ability to identify and address needs in a team environment
  • Travel Requirement is approximately 25%
  • Ability to manage problems and situations where uncertainty is inherent constructing new and innovative solutions for complex and varying problems and situations while approaching issues/problems by considering the larger perspective or context
This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.
UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.