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PIH Health
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PIH Health
Downey, California
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Director-Case Management
DescriptionManages Case Management Department (includes Bed Board/Clinical Intake, Disease Management, Social Services, Discharge Planning, Precertification and Denial management; plans, organizes, and directs all related functions and activities (internal and external); establishes goals, objectives, standards of performance; develops operating policies and procedures; interprets hospital policies, standards and regulations to appropriate staff, patients, medical staff and public. Evaluates the effectiveness of Case Management services related to reimbursement for inpatient and outpatient services.  Coordinates, negotiates, procures services and resources for the management the care of complex patients to facilitate achievement of quality and cost efficie
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