Regional Administrative Manager manages the daily operations of an organization's staff and service functions. Oversees various internal service areas that typically include administrative/office/financial operations, facility maintenance/space planning, security, hospitality services, equipment and supply procurement, vendor management, and others. Being an Regional Administrative Manager tracks capital and operating budget spending. Implements processes and policies that support efficient service delivery and meet the organization's changing needs. Additionally, Regional Administrative Manager sets performance goals and service targets for staff used to evaluate performance and to drive continuous improvement. Utilizes data analytics to measure activity and drive continuous improvement. Typically requires a bachelor's degree. Typically reports to top management. The Regional Administrative Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be an Regional Administrative Manager typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Using discretion and independent judgment, the Case Manager is
responsible for all case management activities assigned. This includes case management and utilization
management. The Case Manager provides
concise management of patients’ hospitalization from pre-admission through
discharge in the areas of patient care, fiscal management, and Payor/referral
satisfaction. The Case Manager is responsible for conducting Discharge Planning
Evaluations, performing discharge planning to ensure patients and their
families receive maximum benefits, and awareness of community and government
agencies. This position requires the use of communication skills, the ability
to perform management operations directly related to administrative goals and
policies, to provide regular and direct assistance to executives, to perform
work and special assignments under only very general supervision, and to
continuously develop department operations toward efficiency and effectiveness. This
position requires a MSW or LCSW with at least three (3) years of work
experience in a medical case management setting. Exceptions are made with CEO approval. Good organizational and liaison capabilities
with well-developed written and verbal communication abilities are
required. Well demonstrated public relations
skills with a cooperative and assertive attitude. Working knowledge of the insurance industry
is required. 1. Have an understanding of the commercial insurance appeal process. 2. Have a working knowledge of billing ad reimbursement and letter of agreement. POSITION SUMMARY
POSITION QUALIFICATIONS
RESPONSIBILITIES
3. Be knowledgeable regarding pre-certification and concurrent review process.
4. Must have clear and concise professional language in the preparation of up to date clinical reports representing the patient’s total condition and treatment plan.
5. The Lead Case manager, Director of Case Management or a department representative will participate in a brief portion of the hospital liaison/ marketing meeting to share positive and challenging case-specific, case type, or data-based outcomes. Routine participation allows for a positive exchange of information between the departments to identify high risk factors that could potentially affect the outcome of future admissions.
6. Have working knowledge of Federal and State Regulatory Compliance.
7. Be responsible to document case-based activities with treatment plan/ discharge plan interventions.
8. As the designated team leader have a good working knowledge and ability to facilitate interdisciplinary team conference identifying clinical challenges and outstanding issues.
9. Ability to discharge patients successfully without adverse health consequences with all needs identified.
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