2026 - Manager - Case Management and Social Work - Memorial Regional Hospital

Memorial Healthcare•Hollywood, FL

2d•Onsite

About The Position

Assumes 24-hour accountability for managing the functions of Access, Care Coordination, and Discharge Planning. With the Manager - Social Work, serves as the central resource to the Director - Case Management to develop strategies which are efficient, effective, timely, patient-centered, and support appropriate financial reimbursement. To meet accountabilities of the Care Management Dashboard, collaborates with all disciplines, departments, payers, system partners, vendors, and community agencies to optimize clinical outcomes within best practice, ethical, legal, and regulatory parameters.

Requirements

5 years of Case Management or Social Work experience
3 years Leadership experience in Case Management or Social Work
Acute care experience required
Graduate of an accredited Registered/Professional Nursing program or a Bachelor’s degree in Nursing (BSN).
Accredited Program: Nursing (Required)
Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)
Minimum of three (3) years of case management experience and, at least, two (2) years of leadership experience within case management.
Knowledge of State and Federal regulations governing discharge planning conditions of participation, hospital information systems (e.g., logician and IDX), staff development techniques, and performance improvements processes.
Strong background in clinical decision making, medical criteria, and discharge planning.
Must be proficient with Interqual or Milliman guidelines and use.
Proficient in process improvement, and performance monitoring.
Critical thinking and effective communication (verbal and written) skills, decisive judgment, and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.

Nice To Haves

Certification in Case Management preferred.

Responsibilities

Assists with the preparation and evaluation of departmental budgets, and ensures that the department operates in compliance with allocated funding.
Coordinates and directs internal/external audits.
Monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
Completes annual and interim performance reviews for all staff and contributes to performance reviews of other professionals and support staff as requested.
Manages and constantly evaluates staffing levels, assignments, skills, learning needs, and deployment of staff.
Assists with the management and evaluation of department operations, including information technologies, service level determination and complaint management, to achieve performance and quality control objectives.
May collect and assess data to identify quality trends or actual sources of risk to patients and employees.
Collaborates with multi-disciplinary teams and committees with respect to quality outcomes.
Participates in clinical performance improvement activities, including the development of clinical paths, patient/family education programs, collaborative practice groups, Six Sigma, and other quality initiatives.
Assists with the development and implementation of Case Management goals, plans, and standards consistent with the clinical, administrative, regulatory, legal, and ethical requirements.