Director of Case Management

St. Mary's General Hospital • Passaic, NJ

40d • $89,440 - $114,108 • Onsite

About The Position

The Director of Case Management develops staff and systems to effectively operate a comprehensive Case Management Program. The role provides leadership and supervision to case managers, social workers, case management coordinators and discharge planners, utilization review coordinators, and utilization technicians. The Director assesses needs and plans, communicates, and designs services appropriate to the hospital’s mission and patient and family needs. The role integrates and coordinates services using continuous quality improvement tools.

St. Mary's General Hospital is a community-based tertiary medical center in Passaic, New Jersey. It provides acute care and a broad range of services, including cardiovascular services, cancer care, maternal-child health, and outpatient behavioral health. The hospital is a member of Prime Healthcare.

Requirements

• Be a licensed clinician in the state, or meet the stated grandfathering qualification: prior to April 1, 2015, have a minimum of five years post-graduate experience from an accredited school of Social Work for a Licensed Clinical Social Worker.
• Have a minimum of five years’ experience in a Case Management position.
• Have analytical ability for problem identification and for assessment and evaluation of data and statistics obtained from an ongoing review process.
• Have experience and knowledge in basic to intermediate computer skills.

Nice To Haves

• CCM certification, or obtain it within one year.
• BS, BSN, or a degree in a related field.
• Current BCLS certificate.
• Knowledge of Milliman Criteria and InterQual Criteria.

Responsibilities

• Develop staff and systems to effectively operate a comprehensive Case Management Program.
• Provide leadership and supervision to case managers, social workers, case management coordinators and discharge planners, utilization review coordinators, and utilization technicians.
• Assess needs and plan, communicate, and design services appropriate to the hospital mission and patient and family needs.
• Integrate and coordinate services using continuous quality improvement tools.

Benefits

• Paid time off
• 401K retirement plan
• Medical coverage
• Dental coverage
• Vision coverage
• Tuition reimbursement
• Voluntary benefit options

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed