Case Management Supervisor - Social Work
About The Position
The Case Management Supervisor is responsible for providing supervision to the Social Worker Case Managers, RN Case Managers, UR Tech, and Discharge Planners. This role also involves working with the facility Medical Review Coordinator (MRC) on all cases of Peer to Peer review, outcomes, and initial appeal requests. The supervisor provides oversight for the quality and resources management of all patients admitted to the facility from admission through the continuum of healthcare management. The position advocates for patients, promotes cost containment, and demonstrates leadership to integrate healthcare providers for seamless care delivery. The methodology is designed to facilitate and ensure the achievement of quality, clinical, and cost-effective outcomes. This includes performing a holistic and comprehensive admission and concurrent review of the medical record to assure all parameters for MCG/Milliman criteria/InterQual are met, including medical overview to find medical necessity, intensity of service, and severity of illness.
Requirements
- Licensed clinician in your state.
- At least one-year experience in case management, discharge planning or management.
- Experience and knowledge in basic to intermediate computer skills.
Nice To Haves
- CCM or obtained within 1 year.
- Minimum 5 years of acute care experience.
- Current BCLS certificate preferred.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
Responsibilities
- Providing supervision to Social Worker Case Managers, RN Case Managers, UR Tech, and Discharge Planners.
- Working with the facility Medical Review Coordinator (MRC) on Peer to Peer review, outcomes, and initial appeal requests.
- Providing oversight for the quality and resources management of all admitted patients across the continuum of healthcare management.
- Advocating for patients and promoting cost containment.
- Demonstrating leadership to integrate healthcare providers for seamless care delivery.
- Performing holistic and comprehensive admission and concurrent review of the medical record to assure parameters for MCG/Milliman criteria/InterQual are met.
- Conducting medical overview to find medical necessity, intensity of service, and severity of illness.
Benefits
- Paid time off
- 401K retirement plan
- Medical coverage
- Dental coverage
- Vision coverage
- Tuition reimbursement
- Many more voluntary benefit options
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
