$100K — $150K *
Strategy / Operations - Responsible for the effective daily operation of the care transition function. Responsible for providing and/or implementing strategies to improve operations and outcomes.
Determines proactive strategies and methods necessary for a high performance culture related to care transition management. Supports change management and movement toward interaction with outpatient care management.
Directs the activities of the Care Transition Managers (RN & SW).
Serves as a content expert on the following: Compliance with program expectations Mitigation activities with all clinical partners / payors as needed. Compliance requirements: Code 44 intervention, HINN letters, Second IMM, Observation letter, etc. Potential denials, avoidable days, alternate level of care days, etc. Medical necessity criteria, patient status, and discharge criteria. All clinical and transition documentation Clinical Review staff requirements and
Valid through: 8/18/2020