Manager of Case Management
About The Position
The working Manager 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, case management coordinators/discharge planners, utilization review coordinators and utilization review 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. Responsible 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. 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.
- 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
- development of staff and systems to effectively operate a comprehensive Case Management Program
- leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review 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
- 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
- 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
Benefits
- paid time off
- a 401K retirement plan
- medical, dental, and vision coverage
- tuition reimbursement
- many more voluntary benefit options
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
