• Address: Detroit, MI 48222 (map)
• Date Posted: 11/14/09
• Job Type: Full-time

Company Cybercoders.com
Position Title Director of Health Services Clinical Nurse Practitioner
Job Code 2919713
Job Location Detroit, MI -
Description




Director of Health Services - Clinical Nurse Practitioner Director of Health Services - Clinical Nurse Practitioner - Skills Required - Director of Health Services, Nurse Practitioner, Nurse, Managed Care, CPT, ICD-9, HCPC, Insurance


Director of Health Services - Clinical Nurse Practitioner


We are a leading national healthcare organization. Due to expansion we are looking for a Director of Health Services. In this role you will be responsible for patient case management through quality improvement, case management, credentialing and utilization management.


What you'll be doing!


- Supervise of the Health Services staff

- Oversee referral authorization activities and referral authorization staff

- Supervise all activities related to the authorization of eligible services

- Oversee Authorization Review Committee meetings

- Support the notification process for providers and members to ensure compliance and efficiency

- Supervise the management of in-patient activities/processes

- Manage all activities related to the Quality Improvement process

- Clinical quality monitoring and improvement activities related to preventive health services and chronic illness pertinent to the long-term care population

- Support activities related to the Appeals and Grievances processes to ensure compliance with state, federal and company standards and regulations


What you need for this position!


- 3+ years experience in an HMO/IPA/Managed Care setting

- 3+ years years hands on clinical experience

- Current Nurse Practitioner license

- Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems

- Knowledge of CPT, ICD-9 and HCPC codes


What's in it for you:


- Competitive salary

- Comprehensive benefits

- Fantastic work environment

- Stability and career advancement

- Other cool perks!


So, if you are a Director of Health Services with hands on clinical experience, please apply today! - Q-MI-DIRHS - , , , , , CyberCoders CyberScientific

Desired Skills:


Non-Tech Skills:



Pay Rate: $100k - $110k
Start Date: ASAP
Emp. Type: Full Time
# of Openings: 1
Location: Detroit, MI -
Overtime Pay: None
Job Number: 35867047 : JSQ-MI-DIRHS_1
Date Posted: 11/12/2009

Cybercoders.com

Other jobs with this company.

Attention: Recruiter
Email: Send an email to Quentin.32A4A.D9D0A@mail.jobserve.com