Group Director of Case Management

Who We Are

We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.

Our Story

We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we ve grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.

We have a rich history re are so many stories of compassionate care; so many  firsts  in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.

Our Impact Today

Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet s operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve.

The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.

All staff assigned to department (case managers, social workers, case manager assistants, administrative assistants). Other responsibilities as assigned e.g. disaster preparedness

The metrics below provide an indication of the effectiveness of the individual in this role and may be used for evaluative purposes. The list below is not meant to be exhaustive; other relevant metrics may exist.

• Compliance with Tenet Case Management policies
• Obtaining valid physician order prior to bed placement
• Inter Qual reviews
• Observation hours
• Excess Days/ALOS
• Clinical disputes - incidence and dollars
• Number and type of avoidable days
• Resource Utilization
• At least 5 hours of CEUs per year on topics related to Case Management

This position qualifies for a $20,000 Sign-On Bonus!

Desert Regional Medical Center is a 385-bed acute-care hospital classified as a stroke receiving center and level 2 trauma facility with an innovative, patient centered and evidence-based Rehabilitation Services Department. Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics.

The individual in this position has overall responsibility for operational management of the Case Management Department, Social Services and Bed Control; including staffing, budgets and plans. The individual’s responsibilities will include, but are not limited to the following activities:

• Complying with relevant Tenet policies including Case Management and Clinical Determination Policies
• Implementing and revising the UM Plan and promoting cooperation with utilization review standards by the medical staff
• Maintaining / facilitating communication between the case management department and the physician advisor on a regular basis regarding utilization review and/or quality issues
• Maintaining / facilitating communication between the case management department and the physicians as well as other members of the healthcare team
• Analysis of reports: LOS, avoidable days, disputes, Inter Qual and associated metrics
• Responsible for implementation and compliance with all policies and regulations relating to the functioning of the case management department
• Any other duties as assigned

Attends a workshop webinar led by PMI Case…