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Risk management Jobs in Memphis, TN

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Risk management • memphis tn

Last updated: 2 days ago

Case Management Director

Veracity SolutionsMemphis, TN, United States
Full-time

The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promot... Show more

Manager, Program Management

BDO USAMemphis, TN, United States
Full-time

This role is responsible for overseeing the development, administration, and monitoring of federally funded programs and projects being implemented.The primary responsibility will be to ensure that... Show more

Store Management - Spirit

Spencer'sMemphis, TN, United States
Full-time

The store management oversees and is accountable for the total operation of a store ensuring maximum sales and profitability by establishing and maintaining guest services and controlling expenses.... Show more

DIR - RISK MANAGEMENT

Alan B. Miller Medical CenterMemphis, TN, United States
Full-time

Compass Intervention Center has been providing psychiatric services in Memphis, Tennessee for 29 years.Compass Intervention Center is a 108-bed, free-standing facility that treats children and teen... Show more

Management Trainee

Enterprise HoldingsMemphis, TN, United States
Full-time

Start your career with Enterprise Mobility! We're hiring immediately for our respected Management Training Program.Whether you see yourself in sales, business development, customer service, retail ... Show more

Materials Management Technician

Mississippi Baptist Health SystemsMemphis, TN, United States
Full-time

Delivers supplies to user departments.Processes requests for stock items.Maintains patient care equipment.Performs receiving/storeroom functions and linen distribution functions as directed.Perform... Show more

DIR - RISK MANAGEMENT

Wellington Regional Medical CenterMemphis, TN, United States
Full-time

Compass Intervention Center has been providing psychiatric services in Memphis, Tennessee for 29 years.Compass Intervention Center is a 108-bed, free-standing facility that treats children and teen... Show more

Senior Risk Analyst (Capital, Market, Liquidity, Interest Rate Risk)

First HorizonMemphis, TN, United States
Full-time

Senior Risk Analyst (Capital, Market, Liquidity, Interest Rate Risk).Requisition Number: SENIO013725.On site in offices within our company's footprint.The Senior Risk Analyst will conduct routine m... Show more

Remote Management Consultant

Micro1Memphis, Tennessee, US
$50.00 hourly
Remote
Full-time

Management Consultant / Business Strategy Specialist.AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such ... Show more

 • Promoted

Management Trainee Program

BuckleMemphis, TN, United States
Full-time

The Management Trainee position's primary responsibility is to fulfill our mission statement, "to create the most enjoyable shopping experience possible for our Guests.Additionally, Management Trai... Show more

Senior Auditor - Risk

TrustmarkMemphis, TN, United States
Full-time

The Risk Auditor is primarily responsible for completing audit engagement assignments covering corporate risk groups, including Enterprise Risk Management, Operational Risk, corporate governance, s... Show more

Management Trainee

CintasMemphis, TN, United States
Full-time

Cintas is offering an exciting Management Trainee program designed to kickstart your professional career.We are seeking a motivated and dynamic Management Trainee to join this well-structured progr... Show more

Management Trainee

Dayton FreightMemphis, TN, United States
Full-time

The Management Trainee Program is geared toward recently graduated or soon-to-be graduating seniors.This 24-week, hands-on job experience offers the opportunity for each Trainee to become part of a... Show more

Management Training Program

Express Oil Change & Tire EngineersMemphis, Tennessee, United States
Full-time

At Express Oil Change & Tire Engineers, we are actively seeking top level, hands-on management candidates with a desire to grow into .As a Manager in Training, candidates will complete all... Show more

RESTAURANT LEADERSHIP & MANAGEMENT

Brazen Restaurant GroupMemphis, TN, US
Full-time

General Management | Operations | Front of House.Join the Brazen Leadership Team.We are looking for more than just managers; we are looking for.Whether you are a seasoned General Manager or a high-... Show more

Travel Nurse RN - Administration / Management in Hendersonville, TN

TravelNurseSourceMemphis, Tennessee, US
Full-time

Registered Nurse (RN) | Administration / Management.Competitive weekly pay (inquire for details) .Hendersonville, TN, United States.Titan Medical is looking for travelers to fill a Travel Case Mana... Show more

 • Promoted

Personal Risk Specialist

USI Insurance ServicesMemphis, TN, United States
Full-time

The Personal Risk Specialist is an outside sales position focused on serving the unique insurance needs of affluent/high net worth clients.In addition to cross selling, as a primary focus for busin... Show more

Cash Management Specialist

NewmarkMemphis, TN, United States
Full-time

Manage and coordinate the accounting staff.Ensure a consistent quality of earnings by effectively managing the internal financial statements, balance sheets, income statements and statements of cas... Show more

Store Management - Spirit

Spencer Gifts - Spirit HalloweenMemphis, TN, US
Full-time

Brand: Spirit Halloween The Store Management oversees and is accountable for the total operation of a store ensuring maximum sales and profitability by establishing and maintaining Guest Services a... Show more

 • Promoted

Restaurant Operations Management

Waffle House, Inc.Memphis, TN, US
$10.00 hourly
Full-time

Since 1955, Waffle House has provided outstanding careers and opportunities for professional achievement unmatched in the restaurant industry.We only promote from within, which leads to significant... Show more

People also ask
Case Management Director

Case Management Director

Veracity SolutionsMemphis, TN, United States
30+ days ago
Job type
  • Full-time
Job description

Case Management Director

Memphis, Tennessee

The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and 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 Tenet policy
  • Education provided to physicians, patients, families and caregivers

Responsibilities

The individual's responsibilities include the following activities:

  • Manage department operations to assure effective throughput and reimbursement for services provided
  • Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement
  • Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy
  • Ensure timely and effective patient transition and planning to support efficient patient throughput
  • Implement and monitor processes to prevent payer disputes
  • Develop and provide physician education and feedback on hospital utilization
  • Participate in management of post-acute provider network
  • Ensure compliance with state and federal regulations and TJC accreditation standards
  • Other duties as assigned

Skills and Certifications Bachelor degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work MSN, MBA, MSW or MHA. 3 years of acute hospital case management or healthcare leadership experience. 5 years of acute hospital case management leadership multi-site experience. Registered Nurse or LCSW/LMSW license. Must be currently licensed, certified or registered to practical Accredited Case Manager (ACM)