Sbm Management Jobs in Usa
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We are organized, proactive, and resourceful professionals who thrive in high-performing teams. We excel in dynamic, fast-paced environments, where meeting deadlines and exceeding expectations are part of our daily routine. Our attention to detail ensures that all relevant information is properly accounted for, and we dive into the specifics to deliver outstanding results. We take pride in our ability to prove ourselves and seek opportunities to advance our careers within a reputable and award-winning company.
Does this sound like you? Apply to our Digital Marketing PM Talent Bench today!
As a Project Manager you have:
- Digital agency experience (must have)
- Client-facing experience
- Well-versed with digital marketing tools and platforms
- Strong organizational and prioritization capabilities in a fast-paced environment
- Exceptional verbal and written communication skills for clear and effective presentations
- Understanding of creative, website, and digital marketing channels (SEO, Paid Media, Social, etc.)
- Experience with budget management
- Team player
Red Door Interactive is an Equal Opportunity Employer Celebrating the Diversity of Our Employees, Our Clients, and the Work We Do.
When work resonates with people in a wide range of industries, geographies, and cultures, we all win. To create impactful work together, we nurture an inclusive environment that invites diverse voices and empowers our people to contribute their whole selves to our craft.
Red Door Interactive is an Equal Opportunity Employer Celebrating the Diversity of our Employees, our Clients, and the Work We Do.
Location: Hanscom, MA
Type: Full-time
US citizens, GC holders preferred, NO third-party corp-to-corp accepted for this job
Job Requirements: The contractor shall possess comprehensive knowledge of principles, policies, and practices of systems acquisition and program management, as well as knowledge of roles and responsibilities as defined in DoDI 5000.02, AFI 63-101/20-101, and other relevant guidelines.
At MVP Health Care, our commitment to meeting the needs of our customers goes beyond our health plans. We're shaping the future of health care-and as an intern, you'll be part of it! Dive into a world of innovation, working alongside experienced professionals who are passionate about making a difference.
This is more than an internship; it's an opportunity to build skills, gain confidence, and make a meaningful impact while discovering what a career in a transforming industry can look like.
What's in it for you:
Our internship program is designed to provide a comprehensive learning experience.
- Build Real Skills: Gain hands‐on experience, practical skills, and industry knowledge through meaningful work and targeted learning opportunities.
- Work on Impactful Projects: Contribute to real projects that support business priorities and address real‐world health care challenges.
- Grow Your Network: Connect with leaders, mentors, and fellow interns through networking events and everyday collaboration.
- Learn from Mentors: Receive guidance and feedback from experienced professionals who are invested in your growth.
- Give Back: Participate in community service initiatives and be part of an organization committed to making a difference.
- Support Your Well‐Being: Experience a supportive culture with programs that promote balance and well‐being.
- Launch Your Career: Join an award‐winning, inclusive workplace and explore a future in a growing, evolving industry.
The Product Management Intern will serve an important function within our Customer Experience team at MVP to help drive best in class experiences for our customers across our Gia mobile app, Gia member online web experience and non-digital experiences.
The role will provide experience with discovery, delivery and analytics processes across multiple product and business areas. You will be paired with experienced Product Managers who will provide mentorship and guidance for these efforts and work closely with digital engineering, business subject matter experts, user experience and our customers to deliver impactful and positive experiences.
Responsibilities of this position will include the following:
- Assess customer & business needs, perform market research and produce data-based proposals on how to reach desired outcomes.
- Work with customer experience team, business owners, and technical teams to gain alignment on path forward.
- Work across the business to prioritize epics/features, organize product increments, and present on findings and paths forward.
- Present clear and well-defined goals for product increments
- Participate in solution strategy process to ensure that solutions being defined align with incremental goals.
- Work with product and business owners to ensure feature prioritization is representative of the product roadmap.
- Track and manage metrics to measure product performance (e.g. adoption metrics, customer satisfaction, etc.)
Position Qualifications
Minimum Education:
- College coursework required towards a degree in technology, design, business or related field.
- Enrollment in Graduate or MBA program preferred.
- 1-3 years work experience in software or healthcare industry preferred.
Required Skills
- Excellent interpersonal skills in areas such as teamwork, facilitation, and negotiation.
- Ability to handle multiple workstreams simultaneously and meet deadlines.
- Ability to create presentations and present to stakeholders.
- Excellent planning, facilitation, and organizational skills.
- Ability to influence technical and non-technical partners.
- Ability to be a product evangelist.
- Interest in and high-level understanding of the product management discipline
- Interest in Agile software development
- Interest in the health care vertical
- Ability to understand the long-term ("big picture") and short-term perspectives of situations.
- Understanding of the software development lifecycle.
- Passionate about customer success and customer results.
- Ability to gather and analyze data from qualitative and quantitative sources.
This role is hybrid in Schenectady, NY - 3 days per week in our headquarters office.
Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
Pay Rate: $18 - $25 per hour
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .
Job Description –
- Program Increment (PI) Planning Artifacts: Including PI Objectives, Program/Platform Board, and capacity plans.
- Dividing PI into Sprints and Plan Sprints
- Jira Project & Portfolio Management: Configuration and maintenance of Jira projects, boards, dashboards, and reports to track Platform/Program progress, team velocity, and other key metrics.
- Managing internal and cross-functional teams to deliver platform and program milestones
- Program Governance & Status Reports: Regular reports on platform/program status, risks, dependencies, and budget.
- Risk & Dependency Management Logs: Actively maintained logs of platform/program-level risks, impediments, and cross-team dependencies.
- Safe Implementation & Improvement Roadmap: Documentation outlining the strategy for adopting and improving Safe practices within the program.
- Stakeholder Communication Plan, Alignment & Materials: Regular updates, presentations, and communications tailored to various stakeholder groups.
- Cascade and Communicate Core Message Database version to the TPM Team/SW Team with the tags that changes
- Pull and Maintain Platform/Program Timing of all architectures to ensure team is working to the right timing
- Coordination and managing delivery including communication to different teams.
Entry Level Business Management
We are looking to train an entry level manager from the ground up to act as the first point of contact with new customers, answer their queries and increase client satisfaction.
If you enjoy coming up with effective solutions and working toward achieving goals, this job is right for you. You will use your communication skills to identify and address clients' needs while representing our company in a positive way. Previous customer service experience will be an advantage.
Ultimately, you will contribute to building profitable, long-term relationships with our clients to reach our business objectives.
Responsibilities
- Gather information on assigned clients
- Contact clients to understand their needs
- Provide after-sales support to retain customers
- Ensure prompt and accurate answers to clients' queries
- Build strong client relationships, through regular communication
- Report on the status of accounts
- Suggest company products/services that maximize client satisfaction
- Communicate product and pricing details clearly
- Promote new products/services to existing customers
Requirements and skills
- Strong (verbal and written) communication skills with an ability to build relationships
- Effective presentation and negotiation skills
- High degree of professionalism
- Good time-management skills with a problem-solving attitude
- Must be authorized to work in the USA
- Bachelor's Degree preferred
- Currently in NYC area and ready to work immediately
Thank you for your interest!
Are you competitive, motivated, and looking for a career where your income and advancement are directly tied to your performance?
International Sports Management (ISM) is the global leader in executive hosting where we create environments for top companies to host existing accounts, new business prospects and internal staff for some of the biggest sporting events in the world. Our Denver office is a newly established and rapidly growing division, currently made up of one manager and small team of sales professionals, so you’ll receive on demand attention from your direct report.
Because our team is still small, this office operates with a startup-style environment inside a global company. The people who help us grow the Denver office will have the opportunity to earn quickly, develop quickly, and step into leadership roles as we expand.
We plan to build multiple new sales teams in Denver over the next year, and early team members will be in prime position for advancement. Our next training session will begin in late March, so we encourage you to apply.
What You’ll Do
• Sell corporate hospitality and ticketing packages to premier events including:
- College Football Playoff National Championship
- PGA Tour events and golf majors
- NCAA Division I Men’s Basketball Tournament
• Prospect and connect with executives and decision-makers at major companies
• Generate new business across major U.S. markets from our downtown Denver office
• Manage the full sales cycle from prospecting to closing deals
• Build relationships with companies that use sports hospitality to host clients and reward employees
This role starts as an inside sales position focused on outbound business development, with opportunities to grow into account management and leadership roles as the Denver office expands.
What We Offer
• Base salary + uncapped commission
• First-year earnings: $50K–$70K+
• Year two potential: $80K+
• Structured sales training and mentorship
• Monthly, quarterly, and annual incentives
• Medical and dental benefits
• 401(k) with company match
• Paid vacation + major holidays (4+ weeks PTO in 2025)
Who Thrives Here
• Competitive individuals motivated by performance-based earnings
• Former athletes, team leaders, or highly driven graduates
• People interested in building a long-term career in sales or business
• Strong communicators who enjoy building relationships
• Self-starters who work well in fast-paced, high-energy environments
Recent graduates and early-career professionals are encouraged to apply.
Who This Role Is NOT For
This role may not be a good fit if you:
• Prefer a slow-paced work environment
• Are uncomfortable making outbound calls or prospecting for new business
• Are looking for a job where compensation is mostly fixed salary
• Prefer highly structured roles with little competition
This role is for individuals who want to build real sales skills, control their earning potential, and grow quickly in a competitive environment.
Business Overview
If you are looking for a people-first organization that can offer you the career you crave, UM is your home. We are the destination of choice for the world's best talent, where every individual is empowered to unleash their limitless potential and do the best work of their careers.
We are always searching for passionate team members who love media and live and breathe our core values ofCuriosity,Courage, and Community. We seek out those who aren't afraid to ask the tough questions, are excited to explore the nuances, and are hungry for personal growth and continuous learning. People who thrive at UM are collaborators by nature who pursue diverse perspectives because they understand that true innovation is driven by inclusivity. As a people-first agency, we provide the information, tools and technology, career development, and empowerment our people need to realize their potential and achieve their career ambitions.
A global media network within the Omnicom family, UM operates in over 100 countries, with 3,000+ people innovating on a roster of powerful brands and our client campaigns have been recognized by the industry's most competitive global showcases like Cannes Lions, Festival of Media Global, and WARC.
As a result of our people-first commitment, UM has been celebrated as a FORTUNE Best Workplace in Advertising & Marketing in the US, aCampaign Best Place to Workin EMEA, a Campaign Asia Diverse & Inclusive Workplace in APAC, a top 3 agency in LATAM by The Effies, and ranked the number one agency in both Canada and MENAT by RECMA.
Position Summary
The Creative Manager is responsible for overseeing the trafficking, launch, and quality assurance of digital creative across multiple media campaigns. This role partners closely with media teams, publishers, and platform partners to ensure creative assets are accurately tagged, delivered on time, and meet all technical and brand standards. The ideal candidate brings strong operational discipline, attention to detail, and a deep understanding of the digital creative lifecycle.
Responsibilities
- Own the end-to-end creative trafficking process, from asset intake and QA through launch, optimization, and campaign close
- Manage creative execution within ad platforms and IATs, ensuring accurate setup, tagging, and delivery across channels
- Lead creative launches, coordinating timelines, approvals, and handoffs across internal teams and external partners
- Serve as the primary point of contact for publishers and platform partners on creative specifications, requirements, and custom executions
- Ensure all creative assets meet technical, brand, and quality standards, with a high bar for accuracy and professionalism
- Conduct thorough QA of creative tags, trackers, and assets, proactively identifying and resolving issues before and during live campaigns
- Partner closely with media, analytics, and strategy teams to support measurement, attribution, and reporting needs
- Manage multiple campaigns simultaneously, maintaining clear documentation, timelines, and status updates
- Identify opportunities to improve creative workflows and QA processes, helping elevate execution standards across the team
Required Skills & Experience
- Strong understanding of the end-to-end digital trafficking process, from creative intake through launch, optimization, and wrap
- Hands-on experience trafficking and managing creative across IATs (e.g., Google Campaign Manager, DV360, other major ad servers)
- Proven ability to manage creative launches and tagging, including QA of tags, click trackers, impression trackers, and third-party pixels
- Experience working directly with publishers and platform partners to execute standard and custom programs
- Deep familiarity with creative specs, formats, and deadlines across display, video, CTV, rich media, and social
- Ability to QA creative assets thoroughly, identifying issues related to specs, functionality, tracking, and naming conventions before launch
- Strong project management skills, with the ability to juggle multiple campaigns, timelines, and stakeholders simultaneously
- Clear, professional communicator comfortable working cross-functionally with media, strategy, analytics, and external partners
- High attention to detail and accountability, with a demonstrated commitment to quality control at every stage of execution
Desired Skills & Experience
- 3-5 years relevant experience
- Experience supporting or leadingcustom publisher programs, including non-standard units, integrations, or sponsorships
- Familiarity with creative versioning strategies tied to audience, placement, or performance optimization
- Working knowledge of attribution methodologies and how creative tagging supports measurement (e.g., brand lift, viewability, completion rates, halo reporting)
- Experience collaborating with analytics or measurement teams to troubleshoot tracking and reporting issues
- Comfort reviewing and interpreting publisher reporting and post-campaign insights tied to creative performance
- Exposure to rich media vendors and advanced formats (e.g., interactive, shoppable, high-impact units)
- Experience operating in a fast-paced agency environment supporting large-scale launches or always-on programs
- Proactive mindset with the confidence to flag risks, recommend solutions, and improve processes before issues arise
Wage and Benefits
We offer a Total Rewards package that includes medical and dental coverage, 401(k) plans, flex spending, life insurance, disability, employee discount program, employee stock purchase program and paid family benefits to support you and your family.
The salary range for this position is posted below. Where an employee or prospective employee is paid within this range will depend on, among other factors, actual ranges for current/former employees in the subject position, market considerations, budgetary considerations, tenure and standing with the Company (applicable to current employees), as well as the employee's/applicant's skill set, level of experience, and qualifications.
Employment Transparency
It is our policy to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, ethnicity, gender, age, religion, creed, national origin, sexual orientation, gender identity, marital status, citizenship, genetic information, veteran status, disability, or any other basis prohibited by applicable federal, state, or local law.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
The employer will make reasonable accommodations in compliance with the American with Disabilities Act of 1990. The job description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and other job functions are subject to modification. Reasonable accommodations may be provided to enable individuals with disabilities to perform the essential functions.
For applicants to jobs in the United States: In compliance with the current Americans with Disabilities Act and state and local laws, if you have a disability and would like to request an accommodation to apply for a position, please .
Salary Range$90,000—$100,000 USD
Locations: San Jose, CA
Duration: 6 months. Salary Range: $70 - $72/Hour on W2 (All inclusive) 100% ONSITE ROLE
We are seeking a highly experienced Contracts Specialist with a strong background in contract evaluation, pricing strategies, negotiation...
Great careers.
Join the team at Great Plains Health, where you can be a part of something, well, great.
Job Title: Director of Case Management Cost Center: Case Management Job Description: The Director Case Management has overall accountability for the Case Management function at Great Plains Health.
The role established objectives, directs department operation and develops overall departmental strategies in alignment with the overall direction of case management.
The Director of Case Management is responsible and accountable for clinical and financial operations of the Case Management system at Great Plains Health.
The components/roles of the case management program consist of the following: Care Facilitation, Transition of Care facilitation, Utilization Management, Discharge Planning, ER Case Management/Medication Assistance, and oncology case management.
The Director provides hospital-wide leadership through effective managerial and educational direction in these areas to ensure an integrated process which will coordinate health care delivery across service lines.
Frequently interface with senior leadership, medical staff, quality, HIM, business office, ancillary services and nursing in a communications and change management capacity.
The Director is responsible for the results of the unit as well as the development and deployment of staff within their area of responsibility.
Minimum Qualifications o Education o Graduate of Nursing Program, BSN/BA required.
Masters Degree in Nursing, Health Administration or Business Administration or plans to complete.
o Credentials 1.
Must possess a current, valid RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice.
2.
BSN/BA required or actively enrolled in accredited program.
3.
Prefer at least one national certification Physical Demands 1.
Stand and/or walk frequently.
Sit frequently.
2.
Bend, stoop, and crouch occasionally.
3.
Reach floor to overhead occasionally.
4.
Lift and/or carry 25 pounds 100 feet occasionally.
5.
Push and/or pull 25 pounds occasionally.
6.
Visual acuity and hearing within normal limits.
7.
Fine motor coordination within normal limits.
8.
Computer use frequently.
9.
Ability to drive an automobile is required.
Essential Functions 1.
Plans, directs and supervises all aspects of the case management program at Great Plains Health.
2.
Facilitates growth and development of the case management program consistent with Great Plains Health’s Mission, Vision and Values and in response to the health care environment through benchmarking for best practices, networking, quality management , and other activities as needed 3.
Responsible for approving and managing the day to day operational budget ensuring that revenue, expenses, contribution margin and FTE;s meet or exceed budget.
4.
Oversee the interdisciplinary plan of care, discharge-planning process and transition of care to ensure effectiveness and appropriateness of services.
5.
Writes and conducts annual and interim performance appraisal reviews for the professional and non-professional staff in case management.
6.
Acts as liaison to facilitate communication and collaboration between all of the medical team, (physicians, hospitalists, community care managers, nurses, community resources, nursing homes and assisted living facilities.
7.
Responsible for leading a highly employee engaged performance team who incorporate leadership principles and vision in performing the functions of case management.
8.
Use data and evidence based case management strategies to drive decisions, plan, and implement performance improvements for case management.
9.
Coordinates and oversees the education of physicians, managers, staff, patients and families related to the case management process at Great Plains Health and the community.
Join us.
Join great.
Join the dynamic team at Great Plains Health and be a part of something truly exceptional.
At Great Plains Health, we embody a culture defined by authenticity, integrity, and a genuine commitment to listening to both our patients and each other.
As a member of our team, you'll experience a supportive environment where collaboration is key, and every voice is valued.
We work together seamlessly, leveraging our collective strengths to provide the highest quality care to our community.
Passion drives us forward, propelling us to constantly strive for excellence in everything we do.
If you're seeking a rewarding career in healthcare surrounded by like-minded individuals who share your dedication and enthusiasm, Great Plains Health is the place for you.
Come join us and be part of a team that's making a real difference every day.
Job Description & Requirements Specialty: Case Management Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type: Staff Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At DMC Detroit Receiving Hospital , we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
Benefits Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals.
That's why we offer more than a job
- we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance.
The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off (PTO)
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
Note: Eligibility for benefits may vary by location and is determined by employment status Summary Description Oversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
Integrates national standards for case management scope of services including:
- Utilization Management supporting medical necessity and denial prevention
- Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
- Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
- Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
- Education provided to physicians, patients, families, and caregivers Responsibilities include the following activities: a) manages department operations to assure effective throughput and reimbursement for services provided, b) leads the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, c) ensures medical necessity review processes are completed accurately and in compliance with CMS regulations and Tenet policy, d) ensures timely and effective patient transition and planning to support efficient patient throughput, e) implements and monitors processes to prevent payer disputes, f) develops and provides physician education and feedback on hospital utilization, g) ensures compliance with state and federal regulations and TJC accreditation standards, and h) other duties as assigned.
Drafts policy provisions and provides interpretation of department policies, in accordance with the DMC Utilization Review Plan.
Identifies the need for and drafts or defines procedures/protocols in collaboration with higher management input, goals, and objectives; modifies procedures/protocols, as necessary.
Monitors the quality and productivity of staff to ensure work is completed.
Implements performance improvement activities to insure consistency and safety within departmental activities.
Initiates or recommends personnel actions such as hires, fires, disciplines, etc.
Completes performance appraisals and ensures competency of staff.
Assists in the development of daily, monthly, and/or yearly goals and measures for department, and as requested, assists in assessment of goal attainment.
Assists in developing and monitoring budget.
Monitors activities for and ensures compliance with laws, government regulations, Joint Commission requirements and DMC policies relating to areas of responsibility.
As directed, implements external and internal audit recommendations.
POSITION SPECIFIC RESPONSIBILITIES: Department Operations
- Maintains an adequate number and skill mix over seven days a week to serve the patient population and meet the goals of the department
- Implements and supports with business case staffing requests utilizing the Tenet Case Management staffing recommendations and hospital budgetary guidelines
- Holds regular departmental meetings with staff to provide updates and provides for ongoing education
- Completes initial and annual competency and evaluation review on all case management staff
- Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly competency for all employees performing InterQual reviews
- Develops action plan for case managers that fail to meet the IRR acceptable "match" rate to ensure improvement in the accurate application of InterQual criteria
- Ensures new case management staff complete department orientation including review of Tenet Case Management and Compliance policies and Allscripts training.
- Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.
Utilization Management Implements and monitors processes to ensure medical necessity review processes are in place for patients to be in the appropriate status and level of care per Tenet policy.
Oversees submission of cases to Physician Advisor review to ensure timely referral, follow up and documentation.
Implements and monitors utilization review process in place to communicate appropriate clinical data to payers to support admission, level of care, length of stay and authorization for post-acute services.
- Advocates for the patient and hospital with payers to secure appropriate payment for services rendered
- Participates in Revenue Cycle meeting, researching disputes, uncovering patterns/trends, and educating hospital and medical staff on actionable items
- Implements and monitors physician "peer to peer" review process with payers to resolve denials or downgrades concurrently.
- Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes
- Monitors, analyzes, and reports Avoidable Days using the data to address opportunities for improvement
- Participates and/or serves as lead for hospital Medicare Performance Improvement (MPI) initiatives.
- Utilizes Crimson data to provide timely and meaningful information to the Utilization Management Committee and physician staff for performance improvement.
- Monitors to ensure that CMS Follow-up Important Message (IM) and HINN letters are delivered and documented per federal regulations and Tenet policy.
Transition Management
- Implements and monitors process to ensure that a transition plan assessment is completed within 24 hours of patient admission to identify and document the anticipated transition plan for patients
- Ensures case management staff use electronic referral request process for patient placements
- Monitors to ensure that patient choice is documented per CMS regulations and Tenet policy
- Identifies and reports variances in appropriateness of medical care provided over/under utilization of resources compared to evidence-based practice and external requirements.
- Monitors to ensure case management staff document in the Tenet Case Management system to communicating information through clear, complete, and concise documentation Care Coordination
- Works with Nursing and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to promote timely and appropriate throughput
- Participates in daily bed management meeting to support timely and effective patient placement and transfer within the hospital
- Monitors to ensures that patients have a plan of care that is clinically appropriate, consistent with patient choice and available resources
- Monitors to ensures consults, testing and procedures are sequenced to support clinical needs with timely and efficient care delivery
- Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care
- Effectively collaborates with physicians, nurses, ancillary staff, payors, patients, and families to achieve optimum clinical outcomes Education
- Provides education to physicians regarding medical necessity, complete and accurate documentation, and compliance with related regulatory requirements
- Prepares and provides data to physicians and the hospital on utilization of resources
- Provides education to case management staff, physicians, and the healthcare team relevant to the o Effective progression of care, o Appropriate level of care, and o Safe and timely patient transition Compliance
- Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
- Ensures that the department structure and staffing, policies, and procedures to comply with the CMS Conditions of Participation and Tenet policies
- Operates within the RN scope of practice as defined by state licensing regulations
- Implements and monitors compliance with Tenet Case Management practices Qualifications: Minimum Qualifications 1.
Bachelor's degree in Nursing or other health-related field, or the equivalent combination of education and/or related experience or Master's in Social Work for MSW.
Master's degree in Nursing, Business Administration or Hospital Administration preferred.
2.
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.
3.
Three to five years of acute hospital case management leadership experience.
Five years acute hospital case management experience preferred.
McKesson InterQual® experience preferred.
Business planning experience preferred.
4.
Accredited Case Manager (ACM) preferred.
Skills Required 1.
Analytical ability to serve in an advisory/consultative role in determining and/or developing strategies, policies, processes, protocols and methods, frequently in the absence of guidelines or technical assistance, and to evaluate and direct complex systems that foster innovative approaches to procedures/processes.
2.
Fiscal skills to monitor and control costs and revenue.
3.
Ability to cope with stressful situations, manage multiple and sometimes conflicting priorities simultaneously.
4.
Strong communication and interpersonal skills for frequent contacts with internal customers as well as stakeholders external to the DMC to persuade or negotiate on a wide range of subjects in situations which may be controversial, sensitive and/or lead to confrontation.
A mastery of a variety of communication modalities is required to include leading meetings, making formal presentations, and writing complex documents and managing complex relationships over time.
5.
Teaching abilities to conduct educational programs for staff.
6.
Project management skills including the ability to define program, project, or process objectives, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological and fiscal resources to accomplish goals and objectives in a resourceful yet timely manner.
7.
Leadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support.
8.
Technical knowledge of community resources, regulatory requirements, reimbursements, and utilization management procedures in order to function Facility Description DMC Detroit Receiving Hospital, Michigan's first Level I Trauma Center, helped pioneer the evolution of emergency medicine and currently has one of the busiest and most well-equipped emergency departments anywhere.
The first and largest verified burn center in the state is at Receiving, and it is one of only 43 in the nation.
Receiving also offers the state's leading 24/7 hyperbaric oxygen program, Metro Detroit's first certified primary stroke center, and the nationally recognized and accredited DMC Rosa Parks Geriatric Center of Excellence.
EEO Statement: Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program.
Follow the link below for additional information.
E-Verify: employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
Job: Case Management Primary Location: Detroit, Michigan Facility: DMC Receiving Hospital Job Type: Full Time Shift Type: Day Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program.
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Detroit Medical Center Job ID 43690.
Posted job title: Director
- Case Management About Detroit Medical Center The Detroit Medical Center (DMC) is the leading academically-integrated hospital system in Metro Detroit, and one of the largest health care providers in Southeast Michigan.
During our 150 years of caring for the community, we have been recognized nationally with top awards in many aspects of hospital operations and patient care.
The DMC is able to achieve these awards because of our exceptional employees.
The Detroit Medical Center is one the largest academic medical centers in the United States, with a long and rich history of medical education, for more than 100 years.
We train more physicians than any other hospital in Detroit.
Our evidence-based approach inspires confidence and spurs innovation.
It ensures that we are making treatment decisions based on our experience, on the best available research and our understanding of each patient as an individual.
Our commitment to our patients Our commitment to patient care and improving patient outcomes is part of everything we do.
It's our mission.
It's our promise to every patient and every family who entrusts their care to us.
To meet the needs of our community, we operate 8 hospitals and more than 140 clinics and outpatient facilities across southeast Michigan, including a nationally recognized dedicated pediatric hospital (Children's Hospital of Michigan) as well as a nationally recognized rehabilitation hospital (Rehabilitation Institute of Michigan).
We offer an inclusive, diverse and supportive environment.
Knowing that we are better together, our teams are highly collaborative and integrated to deliver the high quality and compassionate care our patients expect and deserve.
Staff members have a voice in forming our culture; one that is often referred to as "my forever family" and "colleagues who have my back".
The DMC has a proud legacy of caring for the people and the families that call Metro Detroit home; they're our neighbors, our friends, and our community.
That's why the DMC serves everyone in the community who needs us; no one gets turned away who comes to us for care.
From local food drives to our long-standing commitment to educate and empower our community towards better health, you can count on the DMC.
There's a spirit of caring and togetherness that you will experience when you join the DMC family.
We are a community build on care.
At the DMC, we are committed to maintaining an environment of Equal Opportunity and Affirmative Action.
If you need a reasonable accommodation to access the information provided on this web site, please contact the DMC facility where the position is available, for further assistance.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or status as an individual disability.
Employee Benefits At the DMC, health and well-being are important to us, so we provide a range of benefits and options to help meet the needs of all eligible employees.
In addition to a range of healthcare plans, including higher and lower deductible options, we offer dental, vision and an employee assistance plan.
Basic life insurance and Accidental Death and Dismemberment insurance are provided for free to eligible plan members.
Employees can also choose to participate in one of several supplemental life insurance and/or disability plans, a legal services plan and an identity protection plan.
For those employees who are looking for support to care for family members, we also offer child and elder care programs.
To help employees prepare for retirement, we offer a 401K savings plan, and an employee discount plan that includes discounts for a wide variety of products, including auto and home insurance and mobile plans.
Benefits Medical benefits Dental benefits Vision benefits Employee assistance programs Life insurance Discount program5c143e31-5e48-4549-b638-05792d185386