Nurse / Manager Job in Las Vegas, Nevada / Hospital
|
APPLY NOW
|
Description
Standard Qualifications: Serving the community for nearly 60 years, Sunrise Hospital & Medical Center provides Las Vegas and the Southwest region with high quality, advanced healthcare services. Sunrise Hospital is the largest acute care facility in Nevada. Sharing the same campus as Sunrise Children's Hospital, Nevada's largest most comprehensive children's hospital. Responsible for providing direction and oversight of concurrent denial prevention initiatives within the assigned facility. Maintains a current working knowledge of non-governmental and governmental payers and contracted language. Knowledge of payer trends and analysis of denials with a focus on prevention of denials within the acute setting. Will assist with the identification of strategies for prevention and initiate processes for denial avoidance. Monitors and provides detailed analysis of trends in the non-governmental sector. Provides direction and support to the assigned facility with root cause analysis of received denials. Develops and implements action plans with interventions as needed with all facility departments. Identifies education opportunities within the facility and assists with communication required for intervention. Provides updates to developed reports/dashboards and communicates weekly with Division Denial Prevention Manager and facility CFO on all opportunities and daily to the facility Administrative Director of Case Management. Responsible for immediate interventions to assist facility in prevention of denials. Communicates appropriately with all relevant entities: Facility, Division, SSC, PDU, Managed Care AVPs and Payers. SUPERVISION: CFO/Director of Case Management/Division Director of Denials Prevention SCOPE: Employees reporting to: Direct:5 Indirect: Total: 5 Budget responsible for: N/A Operations: Capital: Other: Total: 0
* Some information such as the email and phone number are hidden unless you are registered and logged-in
|
| Employer: |
HCA
|
| Post Date: |
Mar 07, 2019 |
| Profession: |
Administrative and Executive |
| Job Type: |
Exec/Admin |
| Specialty: |
None |
| Location: |
Nevada - Las Vegas |
| Job Reference: |
727491 |
| Contact Details: |
Login or Register to View Contact Information
|
|
|
