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Company: Centura Health
Location: Englewood
Posted on: May 3, 2021

Job Description:

Welcome to the largest health ecosystem in Colorado and western Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options, possibilities and values that guide exceptional care. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams, overflowing community and the wholeness of mind, body and spirit that is Centura Health.You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills but your commitment to a greater cause is something we value even more. The Enterprise Director of Case Management provides oversight, direction and leadership of the Case Management functions including utilization review, care coordination, compliance, length of stay management, and discharge planning across Centura. Work closely with compliance and revenue cycle to assure proactive measures to respond to Federal payer mandated changes.In addition to bringing your whole self to the workplace each day, qualified candidates will need the following: Bachelor's Degree, RequiredMaster's Degree, RequiredCurrent state nursing license or RN license from a participating state in the National Licensure Compact - RequiredCertification by relevant professional organizations such as ACM, CMSA, ABQAURP, ANCC or CCM, preferred5 years clinical experience in utilization review, case management and disease management.3 years of leadership experience with focus on utilization management, case management and or care coordination with care transitions and disease management experience. (i.e. utilization/quality/care/case management).Previous experience working as an RN, required.Experience in working with CMS and RAC DenialsKnowledge of regulatory compliance.This position may be eligible for a relocation and/or sign on bonus.When people and places align, incredible things happen. Just like the 21,000+ amazing associates who work here, every community within Centura Healths connected ecosystem has its own unique history, story and personality.Centura Health connects individuals, families and neighborhoods across Colorado and western Kansas with more than 6,000 physicians and 21,000 of the best hearts and minds in health care. Through our 17 hospitals, two senior living communities, health neighborhoods, physician practices and clinics, home care and hospice services, and Flight for Life Colorado, we are making the regions best health care accessible and affordable in every community we serve. Formed in 1996 by sponsors Adventist Health System and Catholic Health Initiatives, our Mission is to extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities. Centura Health is more than a great place to work its a place where our core Values of Compassion, Respect, Integrity, Spirituality, Stewardship, Imagination and Excellence are demonstrated daily in everything we do.

Keywords: Centura Health, Denver , 2021-30862, Other , Englewood, Colorado

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