Vice President, Case Management

• Bachelor’s Degree in Nursing
• Master’s Degree in Nursing and other health care related courses – Preferred
• Minimum of 10 years acute care clinical experience
• Minimum of 10 years case management leadership experience
• New York State Licensed Registered Professional Nurse
• Certification in Patient Review Instrument (PRI) and Screen
• Certification in Case Management
• Certification in Hospital Management strongly preferred
• Broad knowledge of medical, nursing, and allied health sciences, community resources case management regulatory requirements, and the revenue cycle
• PC experience word processing, spreadsheets, and case management/denials software structures
• Strong understanding of CMS Conditions of Participation as it relates to utilization management, coordination of care and transition management
• Knowledge of HIPAA and privacy regulations, healthcare laws, regulations and standards
• Demonstrated leadership ability required
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Perform light lifting (up to 15 pounds)
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
• Work Environment: Works in a well-lighted/ventilated office setting. Subject to frequent interruptions. Minimal occupational exposure to infectious diseases, blood borne pathogens, hazardous chemicals, noxious odors, latex, or musculoskeletal injuries. Operate Office machines properly and in accordance with Hospital safety standards. Ability to work in accordance with Hospital Safety Standards

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.