Director of Case Management
About The Position
Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare stands apart from others by its unique ability to save and transform hospitals. We have been named the “fastest-growing hospital system” in the country by Modern Healthcare. And as we continue to grow and fulfill our mission of “saving hospitals, saving jobs and saving lives,” we remain committed to delivering exceptional care, and creating a legacy that will improve healthcare Responsibilities The Director of Case Management is responsible for the 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 .
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
- The Director of Case Management is responsible for the 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
Benefits
- paid time off
- a 401K retirement plan
- medical, dental, and vision coverage
- tuition reimbursement
- many more voluntary benefit options
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
