Details
Department: Case Management
Schedule: Full Time Hybrid (frequently on site)
Hospital: Ascension St. Vincent
Location: Jacksonville, FL
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.
Responsibilities
Position Highlights
Responsibilities:
Review medical records of identified patients to assist with the level of care and length of stay determination.
Assist and manage the denial management process.
Review and offer suggestions related to resources and service management.
Provide education to physicians and other clinicians on regulatory requirements, appropriate utilization of alternate levels of care, community resources, clinical documentation improvement, coding, quality and/or compliance processes.
Develop strategy and processes to reduce denials and audits.
Assist with appeals and length of stay market initiatives.
Utilize hospital data sources to identify & analyze patterns of over or under-utilization of services, quality metrics and collaborate with appropriate stakeholders to help achieve those goals.
About Ascension St. Vincents Hospitals (Riverside, Southside, Clay, and St. Johns)
St. Vincents Medical Center Riverside is a 528-bed hospital founded by the Daughters of Charity in 1916. It is part of St. Vincents HealthCare and Ascension, the nations largest Catholic and non-profit healthcare system.
St. Vincents Riverside is home to the largest cardiovascular program between Atlanta and Orlando.
St. Vincents Southside is a 311-bed facility and joined the St. Vincents HealthCare family in 2008.
The Family Birth Place at St. Vincents Southside was one of only nine organizations in the U.S. to receive the PRC Platinum Achievement Award.
St. Vincents Medical Center Clay County, a 134-bed hospital, opened its doors in 2013 and began an expansion that doubled its size by 2015.
The expansion added maternity and womens services, 30 inpatient beds, 13 treatment rooms in the emergency department, and a shell to add 30 additional beds in the future.
St. Vincent's St. John's is a 56-bed hospital and opened in 2022. Patients can expect excellent health care including emergency services, heart care, lab, and imaging.
Patients can expect excellent health care including emergency services, heart care, lab, and imaging.
About Jacksonville, FL
Jacksonville is a rapidly growing metropolitan area with approximately 950,000 residents, not including surrounding counties.
Jacksonville sits on the beautiful St. Johns River in the city center with the Atlantic Ocean a short drive away.
With over 1,100 miles of beaches and waterways, it boasts a mild climate, reasonable cost of living, professional sports teams, international airport, and a solid growing economy.
The city is alive with diverse cultural experiences including distinctive museums, world-class tennis, and excellent golf courses.
Florida has no state income tax.
Requirements
Licensure / Certification / Registration:
Physician MD/DO credentialed from the Florida Board of Medicine obtained prior to hire date or job transfer date.
Education:
Doctor of Medicine (MD) or Doctor of Osteopathy (DO) or Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) or Doctor of Optometry (OD) or Doctor of Podiatric Medicine (DPM) required.
Additional Preferences
No additional preferences.
Why Join Our Team
Ascension St. Vincent's is expanding in the fastest-growing county in Northeast Florida with the addition of a fourth regional hospital, Ascension St. Vincents St. Johns County. Serving Northeast Florida and Southeast Georgia, Ascension St. Vincent's has been providing caregivers in every discipline a rewarding career in healthcare since 1873.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
Equal Employment Opportunity Employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
E-Verify Statement
This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
E-Verify
Full Time