Director of Case Management
About The Position
Saint Mary’s Health Network, a member of Prime Healthcare, is seeking a Director of Case Management to develop staff and systems for the effective operation of 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.
Requirements
- Licensed clinician in the state, or grandfathered prior to April 1, 2015.
- For a Licensed Clinical Social Worker grandfathered prior to April 1, 2015: minimum five years post-graduate experience from an accredited school of Social Work.
- Minimum five years of experience in a Case Management position.
- Analytical ability for problem identification and for assessment and evaluation of data and statistics obtained through ongoing review.
- 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.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
