Lead Case Manager - Social Work

Prime Healthcare•Evanston, IL

9h•$36 - $52

About The Position

The working Lead of Case Management is responsible for providing supervision to the case managers, social workers, coordinators/discharge planners, utilization review coordinators and utilization review technicians. Provides oversight for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

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.
CCM obtained within 6 months with a minimum of 2 years’ experience.
Experience and knowledge in basic to intermediate computer skills.
Behavioral Violence Prevention Training within 3 months of hire and maintain current.

Nice To Haves

Minimum 5 years of acute care experience preferred.
At least one-year experience in case management, discharge planning or management, preferred.
Current BCLS (AHA) certificate preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

providing supervision to the case managers, social workers, coordinators/discharge planners, utilization review coordinators and utilization review technicians.
Provides oversight for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.
promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.