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Company: Bon Secours Health System, Inc.
Location: Portsmouth
Posted on: December 4, 2019

Job Description:

BON SECOURS HAMPTON ROADS CLINICAL RESOURCE MANAGEMENT POSITION SUMMARY The purpose of the Outcomes Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitation, and discharge planning. The Outcomes Manager is responsible for a designated patient caseload and applies clinical expertise and appropriate criteria to meet patient needs across the continuum, recognize and reduce barriers to care, manage length of stay and promotes efficient utilization of resources while serving as a patient advocate. JOB REQUIREMENTS 1. Licensed as an RN in the Commonwealth of Virginia. BS preferred. 2. At least five years nursing experience required or MSW with related work experience. Certification in Case Management preferred. 3. Utilization review or discharge planning experience required. 4. Strong organizational and time management skills as evidenced by a capacity to prioritize multiple tasks and role components. 5. Ability to work independently and exercise clinical judgment in interactions with physicians, payers, patients and their families. 6. Excellent interpersonal communication and negotiation skills. 7. Strong analytical, data management and computer skills. 8. Maintains clinical competency and current knowledge of clinical, regulatory and payer requirements to form job responsibilities.

Keywords: Bon Secours Health System, Inc., Portsmouth , OUTCOMES MANAGER, Executive , Portsmouth, Virginia

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