Director of Case Management

 

Who We Are

inVentiv health(NASDAQ, VTIV) is the premier provider of outsourcing services to the Pharmaceutical and Life Science industries.  Our dramatic growth in Clinical, Communications and Sales Team solutions has led to a global organization recognized by Fortune Magazine’s Fastest Growing Public Companies for two consecutive years.

 

I invite you to learn more about us at www.inventivhealth.com.

We are currently engaged in a direct hire/full time search for AWAC, LLC, based in Augusta, Georgia and a wholly owned subsidiary of inVentiv Health.  We are seeking a highly motivated, results-oriented professional for the role of Director of Case Management in Augusta, GA.

AWAC, LLC is a unique medical consulting and cost containment firm working for ERISA self-funded health plans, employer groups, third party administrators, Managing General Underwriters and carriers across the country. AWAC's focus is improving the quality of care while reducing costs for their clients and insureds.  www.awac.md

Responsibilities:

The Director of Case Management within iCare leads a multidisciplinary team of Case Managers that coordinate the care and resource utilization of patients with complex and chronic illness.  This individual serves as an expert on both Utilization and Case Management within the iCare team.  In addition, the Director oversees the Case Management process and insures the correct use of protocols that guide care delivery based on the research and evaluation of patient outcomes. The Director guides the iCare Management staff in identifying and implementing cost containment measures and implementing interventions that will enhance a patients’ quality of care. A primary objective of this position is to create a heightened awareness of excellence and motivate staff to achieve the highest standards of care.

Requirements: Education:

 

Required:

Bachelors degree in a Health related field

Preferred:

BS in Nursing

 

 Certifications: 

Required:

CCM

Preferred:

Additional Professional Certification in a Clinical Specialty

 

 Experience:

 

Required:

· Minimum 5 years progressively responsible experience in Case Management. 

· Minimum 3 years management experience that includes supervising staff & managing projects/processes

Preferred:

Clinical background.  Previous Utilization Review and/or Claims Review experience 

 Skills, Knowledge & Abilities:

Required:

 

· Proven effective leadership & people management skills - Able to manage onsite and virtual team. 

· Outstanding process and project management. 

· Solutions driven, goal-oriented with a passion for excellence. 

· Strong decision making & problem solving skills. 

· Resourceful with strong organization skills - able to handle competing priorities that are complex in nature simultaneously.

· Excellent listening and written communication skills. 

· Working knowledge of health insurance plans, insurance terminology. 

· Able to interpret and apply health insurance terminology and practices.

· Familiarity with diagnostic coding and billing practices in the medical setting.

· Strong business acumen.

Preferred:

Broad clinical acumen

Relocation Assistance: Provided

Benefits: At inVentiv health, we believe in providing an environment and culture in which Our People can thrive, develop and advance.  We reward and recognize our people by providing valuable benefits and a quality of life balance;

· Competitive Compensation

· Paid Time Off & Holiday

· Complete Healthcare

· Matching 401k

· Dedicated Training and support

EOE:  inVentiv health & its Clients are equal opportunity employers and are committed to employing a diverse workforce. 

Keywords: CCM, Case Management, Utilization Review, Medical Management, Disease Management