See more Collapse

Welfare Benefits Advisor PROSPECTUS

1 month ago

Doha, Qatar Guardian Jobs Full time

Director (RN) Case Management

Location: Houston, TX 77004

Job Type: Perm Full Time

Shift: Days; 9 am -5pm

Salary Range: Min $55 Max $60 an hour

Bonus Structure: 15% annually 4 performance bonus. If they perform extremely well there’s an upside so it could be higher (HR will go over the bonus structure with candidate)

Relo: case by case

What you will do in this role:

The individual in this position has overall responsibility for hospital utilization performance improvement and operational management of the Case Management Department in order 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.

This position 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 HCA policy
  • Education provided to physicians, patients, families and caregivers

The individual’s responsibilities include the following activities: a) manage department operations to assure effective throughput and reimbursement for services provided, b) lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, c) ensure medical necessity review processes are completed accurately and in compliance with CMS regulations and HCA policy, d) ensure timely and effective patient transition and planning to support efficient patient throughput, e) implement and monitor processes to prevent payer disputes, f) develop and provide physician education and feedback on hospital utilization, , g) ensure compliance with state and federal regulations and TJC accreditation standards, and h) other duties as assigned.

Qualifications

What qualification you will need:

  • Registered Nurse license
  • BSN Required
  • MSN preferred. Accredited Case Manager (ACM) preferred.
  • At least two years of RECENT (WITHIN THE LAST YEAR) acute hospital case management leadership experience.
  • Five years acute hospital case management experience preferred.

We have other current jobs related to this field that you can find below

  • Helpline Advisor London PROSPECTUS

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Guardian Jobs Full time

    PROSPECTUSProspectus isdelighting to be supporting our client, in their search for a newHelpline Advisor to join their growing team. Specialising inproviding help and assistance to those on lower incomes with taxissues, the charity provides independent advice, guidance and casemanagement for people encountering a wide range of taxconcerns.Managing multiple...

  • Helpline Advisor London PROSPECTUS

    2 months ago

    Doha, Qatar Guardian Jobs Full time

    PROSPECTUSProspectus is delighting to be supporting our client, in their search for a new Helpline Advisor to join their growing team. Specialising in providing help and assistance to those on lower incomes with tax issues, the charity provides independent advice, guidance and case management for people encountering a wide range of tax concerns.Managing...

  • Helpline Advisor London PROSPECTUS

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Guardian Jobs Full time

    PROSPECTUSProspectus is delighting to be supporting our client, in their search for a new Helpline Advisor to join their growing team. Specialising in providing help and assistance to those on lower incomes with tax issues, the charity provides independent advice, guidance and case management for people encountering a wide range of tax concerns.Managing...

  • Welfare Benefits Advisor PROSPECTUS

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Guardian Jobs Full time

    Director (RN) Case Management Location: Houston, TX 77004 Job Type: Perm Full Time Shift: Days; 9 am -5pm Salary Range: Min $55 Max $60 an hour Bonus Structure: 15% annually 4 performance bonus. If they perform extremely well there's an upside so it could be higher (HR will go over the bonus structure with candidate) Relo: case by case What you will do in...

  • Worker Welfare Lead

    4 weeks ago

    Doha, Qatar Brunel Full time

    In collaboration with CONTRACTORS, establish and steward a Worker Welfare management program for the Offshore, including protocols for Safety, Social Works, Industrial Hygiene (IH), Camp Management, Mental Health, Human Rights, Grievance Management, Dispute Resolution and other Welfare related matters in line with Project, LNG, and Ras Laffan Industrial City...

  • Worker Welfare Lead

    1 month ago

    Doha, Qatar NES FIRCROFT Full time

    BH-263525 Posted: 12/03/2024 - Competitive- Qatar Doha- Contract- Oil & Gas**Job Purpose** - In collaboration with EPC CONTRACTORS, establish and steward a Worker Welfare management program for Offshore, including protocols for Safety, Social Works, Industrial Hygiene (IH), Camp Management, Mental Health, Human Rights, Grievance Management, Dispute...

  • Worker Welfare Lead

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar NES FIRCROFT Full time

    BH-263525Posted: 12/03/2024 Competitive Qatar Doha Contract Oil & GasJob Purpose In collaboration with EPC CONTRACTORS, establish and steward a Worker Welfare management program for Offshore, including protocols for Safety, Social Works, Industrial Hygiene (IH), Camp Management, Mental Health, Human Rights, Grievance Management, Dispute Resolution and other...

  • Worker Welfare Lead

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar oilandgas Full time

    Worker Welfare LeadContract Term in Months: 36 Months 6 days per week, 10 hours per day. Travel Days unpaid. Leave Schedule: 12 weeks / 2 weeks (single) OR 30 Calendar Days every 1 year (married) Visa Status –Provided by NES Medical Insurance provided to you. Expenses with regard to the family and education is NOT paid. Family can be brought into the...

  • Beauty Advisor

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar B Holding Full time

    Hiring for Beauty Advisor for Chanel cosmetics and fragrances.Should be with great knowledge of cosmetics, make up, fragrances, skincare.Will be a benefit to work previously with high luxury brands.Job Types: Full-time, PermanentAbility to commute/relocate: Doha: Reliably commute or planning to relocate before starting work (required)Experience:- beauty...

  • Vehicle Service Advisors

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar JOB HUB GLOBAL Full time

    Job Title:Vehicle Service Advisor (Arabic Speaking)Location:QatarSalary:QAR 8,000 - 9,500 as total packageBenefits:- Family status visa:- Yearly Bonus and Increment:- Car allowance amounting to QAR 750Company Overview:Join one of the leading automobile dealerships in Qatar and become part of a dynamic team committed to delivering exceptional service...

  • Vehicle Service Advisors

    3 weeks ago

    Doha, Qatar JOB HUB GLOBAL Full time

    Job Title**:Vehicle Service Advisor (Arabic Speaking)** Location**:Qatar** Salary**:QAR 8,000 - 9,500 as total package** **Benefits**: - **Family status visa**: - **Yearly Bonus and Increment**: - **Car allowance amounting to QAR 750** **Company Overview**: Join one of the leading automobile dealerships in Qatar and become part of a dynamic team...

  • Sales Advisor

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Tesla Full time

    Be a product expert on Tesla vehicles and technologies, and stay up to date with the latest developments and trendsUnderstand the needs and preferences of each customer, and provide a personalized solution that meets their requirementsProvide detailed and transparent information about the benefits of owning a Tesla vehicle, including charging and maintenance...

  • Sales Advisor

    3 weeks ago

    Doha, Qatar Tesla Full time

    Be a product expert on Tesla vehicles and technologies, and stay up to date with the latest developments and trendsUnderstand the needs and preferences of each customer, and provide a personalized solution that meets their requirementsProvide detailed and transparent information about the benefits of owning a Tesla vehicle, including charging and maintenance...

  • Associate Managing Consultant, Advisors Program

    3 weeks ago

    Doha, Qatar Mastercard, Inc. Full time

    Associate Managing Consultant, Advisors Program Management **Our Purpose** We work to connect and power an inclusive, digital economy that benefits everyone, everywhere by making transactions safe, simple, smart and accessible. Using secure data and networks, partnerships and passion, our innovations and solutions help individuals, financial institutions,...

  • Inhouse Recruitment Advisor

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar CharterHouse Full time

    Job description:Charterhouse is working with a world-renowned educational institute who has a campus in Qatar and is looking to hire an In-house Recruitment Advisor to form part of their Student Advisory Team.About the roleAs the In-house Student Advisor you will provide one-to-one career coaching to the current senior class as well as recent alumni. This...

  • Associate Managing Consultant, Advisors Program

    4 weeks ago

    Doha, Qatar Mastercard Full time

    Our Purpose We work to connect and power an inclusive, digital economy that benefits everyone, everywhere by making transactions safe, simple, smart and accessible. Using secure data and networks, partnerships and passion, our innovations and solutions help individuals, financial institutions, governments and businesses realize their greatest potential. Our...

  • Helpline Advisor Dorset PROSPECTUS

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Guardian Jobs Full time

    New year, new you - how about aCybersecurity job?Have you made anyNew Year's resolutions for your job? What about the opportunity towork in Cybersecurity, have your hard work appreciated and workfrom home?If you enjoy tech and kicking bad guysout of computer networks and playing on a winning team oflike-minded people who are also fascinated by technology...

  • Solution Advisor Associate

    1 month ago

    Doha, Qatar SAP Full time

    **We help the world run better** Who you’ll become Solution Advisor Responsibilities: A Solution Advisor works with our customers and prospects to help them solve organizational challenges and meet their business objectives using SAP solutions. As a part of the sales team, a Solution Advisor is responsible for the technical aspects of the sales cycle. A...

  • Sales Advisor

    2 weeks ago

    Doha, Baladīyat ad Dawḩah, Qatar Tesla Full time

    Tesla participates in the E-Verify ProgramWhat to Expect APPLICATIONS FOR QATAR MARKET ONLY PLEASE. As a Sales Advisor, you will play a critical role in helping customers on their journey to ownership of a Tesla vehicle. You will be a product expert who is passionate about Tesla's mission and can communicate the benefits of owning a Tesla to potential...

  • Sales Property Advisor

    4 weeks ago

    Doha, Qatar The Pearl Gates Full time

    As a Sales Property Advisor with The Pearl Gates, you will be a key contributor to the success of our property sales team. Your primary responsibilities include engaging with clients, understanding their property needs conducting property viewings, acquiring property listings, and closing deals with prospective tenants and guiding them through the home...