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Vice President, Care Mgmt

Company: Recourse Communications
Location: Washington
Posted on: April 10, 2021

Job Description:

Location: Washington, DC, 20017 Work Type: Full Time Vice President, Care Mgmt./Utilization Mgmt.--
Washington, D.C.--

A member of a major well-known health care system, we are a small organization dedicated to treating the whole child, considering their interests and goals, and involving the entire family in each child's care. If you would like to play a pivotal role in providing the highest level of care to help children reach their highest potential, we'd like you to join our Care Management team at the only hospital in the area that specializes in this type of patient care.

As our VP, Care Management/Utilization Management, we'd like you to oversee and manage the Clinical Operations Team including Utilization Management and Care Management. You will work collaboratively with the Chief Medical Officer to develop and implement processes to effectively manage clinical policies. You will also implement a program of care coordination and utilization management defined in the CASSIP (Children and Adolescents for Supplemental Security Income Program) contract. In addition, you will oversee the provision of services and benefits in accordance with the CASSIP conract from multiple network providers. You will promote the relationship between utilization management, care coordination and quality improvement activities. Importantly, you will be a role model for our clinical staff by promoting education, development and adoption of the CQI process, as well as encouraging teamwork while maintaining appropriate communication with the CMO and Senior Leadership.

About You

  • Bachelor's degree, advanced degree in business or health care admin. required
  • Must be a licensed registered nurse (in the state they reside in)
  • 5 years' management experience
  • 10 years' experience in Care Management and Utilization Review
  • Must have managed care experience and utilization review experience
  • Excellent leadership skills
  • Ability to travel within the Washington, D.C. areaWhat You Can Expect from Us
    • Successful stable company
    • Excellent team-centric work environment
    • Outstanding employee benefits, including health insurance (with prescriptions, dental, vision and mental healthcare)
    • Life/AD&D insurance and disability coverages
    • 403(b) retirement investment plan
    • Medical and dependent-care flexible spending accounts
    • Health advocates to help you navigate the healthcare system and connect with wellness programs
    • Employee assistance program that provides referrals to counseling, child care, and other services
    • Tuition assistance and professional development opportunities
    • Generous annual leave
    • Tax-free transit savings programs
    • Federal credit union membership
    • Identity theft services
    • Domestic partner/same-sex marriage benefits
    • Relocation assistanceAbout Us

      We provide care and services to children and young adults with special healthcare needs who live in Washington, D.C. and receive Supplemental Security Income (SSI). Every child receives the kind of attention and level of care that helps make his or her life as full as possible. We are part of a major health care system, a nonprofit healthcare organization committed to serving people of all ages with complex healthcare needs and eliminating barriers to health services.

      We are an Equal Opportunity Employer

Keywords: Recourse Communications, Washington DC , Vice President, Care Mgmt, Executive , Washington, DC

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