Director Case Management

Prime HealthcareLewiston, ME
Onsite

About The Position

Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.

Requirements

  • Licensed clinician in your state.
  • Grandfathered prior to April 1, 2015.
  • Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.
  • Minimum 5 years’ experience in a Case Management position.
  • Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.
  • Experience and knowledge in basic to intermediate computer skills.

Nice To Haves

  • Certification in Case Management, BS or BSN or related field preferred.
  • Current BCLS certificate preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

  • Development of staff and systems to effectively operate a comprehensive Case Management Program.
  • Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians.
  • Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs.
  • Integrates and coordinates services using continuous quality improvement tools.
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